Active NPI
Lam Nutrition, LLC
- Registered Dietitian
- Boulder, CO
National Provider Identifier
1417525593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LAM NUTRITION, LLC
- Practice address
- 1942 Broadway Ste 314C
Boulder, CO 80302-5233 - Phone
- (720) 514-9365
- NPI assigned
- Jun 15, 2021
- 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
- Tina Lam
- Title
- Registered Dietitian
- Phone
- (720) 514-9386
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1942 Broadway Ste 314C
Boulder, CO 80302-5233
Mailing address
1601 29TH St Unit 1292
Boulder, CO 80301-1010
Other names 1
- FIG & NUTRITION, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672185600000",
"number": "1417525593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 29TH ST UNIT 1292",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1942 BROADWAY STE 314C",
"city": "BOULDER",
"state": "CO",
"postal_code": "803025233",
"telephone_number": "720-514-9365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAM NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-15",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A",
"authorized_official_last_name": "LAM",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "720-514-9386"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FIG & NUTRITION, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.