Active NPI
Ben Greenfield
- Health Educator
- Boulder, CO
National Provider Identifier
1356934012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 3980 Broadway St Ste 103-183
Boulder, CO 80304-1133 - Phone
- (805) 888-7077
- NPI assigned
- Feb 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary | ||
| Nutritionist | 133N00000X |
Addresses
Primary practice location
3980 Broadway St Ste 103-183
Boulder, CO 80304-1133
Mailing address
3980 Broadway St Ste 103-183
Boulder, CO 80304-1133
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ben Greenfield, LLC | Nutritionist | Current | Accepting new patients |
Locations
3980 Broadway St
Ste 103183
Boulder, CO 80304
Phone (805) 888-7077
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613260800000",
"number": "1356934012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3980 BROADWAY ST STE 103-183",
"city": "BOULDER",
"state": "CO",
"postal_code": "803041133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 BROADWAY ST STE 103-183",
"city": "BOULDER",
"state": "CO",
"postal_code": "803041133",
"telephone_number": "805-888-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "BEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-14",
"last_updated": "2021-02-14",
"certification_date": "2021-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
}
],
"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 14, 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.