Organization Active NPI

Nutrition Center of Colorado, LLC

  • Registered Dietitian
  • Centennial, CO
National Provider Identifier
1396260485
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1064421 Issued in CO
Legal business name
NUTRITION CENTER OF COLORADO, LLC
Practice address
7760 E Peakview Ave Apt 211
Centennial, CO 80111-6888
Phone
(201) 647-0907
NPI assigned
Aug 9, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Christine Patorniti, RD, CDE, MBANPI 1447591383
Title
President
Phone
(201) 647-0907

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)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1064421 CO Primary

Addresses

Primary practice location

7760 E Peakview Ave Apt 211
Centennial, CO 80111-6888

Mailing address

7760 E Peakview Ave Apt 211
Centennial, CO 80111-6888
Phone (201) 647-0907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171018001266 CO Part B Supplier - Clinic/Group Practice 9234405309 Receives reassigned benefits from 5 practitioners
Practice locations: Aurora, CO; Highlands Ranch, CO; Littleton, CO

National Provider Directory

National Provider Directory

Locations

9895 W Remington Pl
Ste B
Littleton, CO 80128
Phone (201) 647-0907

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396260485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 E PEAKVIEW AVE APT 211",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116888",
            "telephone_number": "201-647-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 E PEAKVIEW AVE APT 211",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116888",
            "telephone_number": "201-647-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION CENTER OF COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PATORNITI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-647-0907",
        "authorized_official_credential": "RD, CDE, MBA"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "1064421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.