Individual provider Active NPI

Cara Olofsson, RDN

  • Registered Dietitian
  • Fort Collins, CO
National Provider Identifier
1306438106
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1066529 Issued in CO
Practice address
343 W Drake Rd Ste 232
Fort Collins, CO 80526-2880
Phone
(708) 717-7394
Fax
(720) 306-3508
NPI assigned
Feb 3, 2021
Last updated
Feb 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1066529 CO Primary

Addresses

Primary practice location

343 W Drake Rd Ste 232
Fort Collins, CO 80526-2880

Mailing address

343 W Drake Rd Ste 232
Fort Collins, CO 80526-2880
Phone (708) 717-7394

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1066529COMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1306438106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W DRAKE RD STE 232",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262880",
            "telephone_number": "708-717-7394",
            "fax_number": "720-306-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W DRAKE RD STE 232",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262880",
            "telephone_number": "708-717-7394",
            "fax_number": "720-306-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOFSSON",
        "first_name": "CARA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "1066529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.