Active NPI
Proactive Diabetes Consulting, LLC
- Registered Dietitian
- Parker, CO
National Provider Identifier
1326353301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 14277
- Legal business name
- PROACTIVE DIABETES CONSULTING, LLC
- Practice address
- 11355 S Parker Rd Unit 101
Parker, CO 80134-7705 - Phone
- (740) 473-6694
- NPI assigned
- Aug 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Nyquist, R.D.
- Title
- Registered Dietitian
- Phone
- (740) 473-6694
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 14277 | CO | Primary |
Addresses
Primary practice location
11355 S Parker Rd Unit 101
Parker, CO 80134-7705
Mailing address
20671 Willowbend LN
Parker, CO 80138-7122
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281657600000",
"number": "1326353301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20671 WILLOWBEND LN",
"city": "PARKER",
"state": "CO",
"postal_code": "801387122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11355 S PARKER RD UNIT 101",
"city": "PARKER",
"state": "CO",
"postal_code": "801347705",
"telephone_number": "740-473-6694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROACTIVE DIABETES CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-13",
"last_updated": "2010-08-13",
"status": "A",
"authorized_official_last_name": "NYQUIST",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "740-473-6694",
"authorized_official_credential": "R.D."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "14277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
- Kristin Prevedel, M.D.
- Cheryl Ann Prevot, M.S.S.W.
- Primus Integrated Medicine, LLC
- Prince Transportation LLC
- PRK Williams Inc. (To The Rescue)
- Professional Dental Care of Central Colorado I PLLC (Creekside Dental)
- Professional Dental Care of Central Colorado III PLLC (Soft Touch Dental)
- Professional Dental Care of New Mexico (Devine Dental of Las Vegas)
- Professional Dental Care of Northern Colorado I PLLC
- Professional Health Alliance (Parker Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.