Active NPI
Jessica J Greenlee, RDN
- Registered Dietitian
- Longmont, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 954 Wolf Creek Dr
Longmont, CO 80504-8729 - Phone
- (720) 378-8316
- NPI assigned
- Apr 12, 2023
- Last updated
- Apr 12, 2023
- 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 | CO | Primary |
Addresses
Primary practice location
954 Wolf Creek Dr
Longmont, CO 80504-8729
Mailing address
954 Wolf Creek Dr
Longmont, CO 80504-8729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1755 48TH St
Suite 200
Boulder, CO 80301-2712
Phone (303) 415-7450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Boulder Community Health | Past | Accepting new patients |
Locations
1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Boulder, CO
- NPI 1821074196
-
dba Community Medical Assoc of BCH
- Medical Specialty Clinic/Center
- Erie, CO
- NPI 1457991473
-
dba Community Medical Assoc of BCH
- Primary Care Clinic/Center
- Boulder, CO
- NPI 1740837137
-
dba Community Medical Associates of BCH
- Medical Specialty Clinic/Center
- Boulder, CO
- NPI 1407685498
-
dba Community Medical Associates of BCH
- Multi-Specialty Clinic/Center
- Boulder, CO
- NPI 1609822030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1326734443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 WOLF CREEK DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805048729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 WOLF CREEK DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805048729",
"telephone_number": "720-378-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENLEE",
"first_name": "JESSICA",
"middle_name": "J",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-12",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.