NPIMap

Organization Active NPI

Simple Nutrition Solutions

  • Renal Nutrition Registered Dietitian
  • Colorado Springs, CO
National Provider Identifier
1316205016
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
956457
Legal business name
SIMPLE NUTRITION SOLUTIONS
Practice address
4820 Farthing Dr
Colorado Springs, CO 80906-5969
Phone
(719) 375-8645
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Andrea Harrington Ulrich, MS, RD
Title
Owner
Phone
(719) 375-8645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1005X 956457 Primary

Addresses

Primary practice location

4820 Farthing Dr
Colorado Springs, CO 80906-5969

Mailing address

4820 Farthing Dr
Colorado Springs, CO 80906-5969
Phone (719) 375-8645

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1316205016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 FARTHING DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809065969",
            "telephone_number": "719-375-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 FARTHING DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809065969",
            "telephone_number": "719-375-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE NUTRITION SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "HARRINGTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-375-8645",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": "956457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.