Active NPI
Jenica Ferruzzi, MS RDN
- Registered Dietitian
- Longmont, CO
National Provider Identifier
1386413029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86068836
- Practice address
- 825 Delaware Ave Ste 200
Longmont, CO 80501-6169 - Phone
- (717) 723-1974
- NPI assigned
- Dec 21, 2023
- Last updated
- Dec 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 86068836 | CO | Primary |
Addresses
Primary practice location
825 Delaware Ave Ste 200
Longmont, CO 80501-6169
Mailing address
903 Terry St
Longmont, CO 80501-4548
Phone (717) 723-1974
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86068836 | CO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Dynamix, LLC | Current | Accepting new patients | |
| Jenica Ferruzzi Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
250 Fillmore St
Unit 150
Denver, CO 80206
Phone (410) 505-0521
825 Delaware Ave
Ste 200
Longmont, CO 80501
Phone (720) 252-9415
Organizations & group practices 2
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.
-
- Registered Dietitian
- Longmont, CO
- NPI 1699597203
Dietitian, Registered
-
- Metabolic Nutrition Registered Dietitian
- Longmont, CO
- NPI 1023565777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1386413029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 TERRY ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805014548",
"telephone_number": "717-723-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 DELAWARE AVE STE 200",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805016169",
"telephone_number": "717-723-1974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRUZZI",
"first_name": "JENICA",
"credential": "MS RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-21",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "86068836",
"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 Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.