Active NPI
Dina Griffin, RD
- Registered Dietitian
- Boulder, CO
National Provider Identifier
1275782682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 972797
- Practice address
- 2900 Valmont Rd
Suite G
Boulder, CO 80301 - Phone
- (303) 440-1015
- Fax
- (303) 440-8990
- NPI assigned
- Sep 10, 2008
- Last updated
- Feb 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 972797 | CO | Primary |
Addresses
Primary practice location
2900 Valmont Rd
Suite G
Boulder, CO 80301
Mailing address
PO Box 18286
2900 Valmont Rd, Suite G
Boulder, CO 80308-1286
Phone (303) 440-1015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 972797 | CO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Nutrition & Exercise Services, LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Boulder, CO
- NPI 1336322320
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1275782682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18286",
"address_2": "2900 VALMONT RD, SUITE G",
"city": "BOULDER",
"state": "CO",
"postal_code": "803081286",
"telephone_number": "303-440-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 VALMONT RD",
"address_2": "SUITE G",
"city": "BOULDER",
"state": "CO",
"postal_code": "80301",
"telephone_number": "303-440-1015",
"fax_number": "303-440-8990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "DINA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "972797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.