NPIMap

Organization Active NPI

Colorado State University

  • Registered Dietitian
  • Fort Collins, CO
National Provider Identifier
1477085397
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
COLORADO STATE UNIVERSITY
Practice address
151 W Lake St Suite 1400 Colorado State University
Fort Collins, CO 80523-1571
Phone
(970) 495-5916
Fax
(970) 491-6357
NPI assigned
Mar 30, 2017
Organization subpart
Yes
Parent organization
COLORADO STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Shelby Cox, RDNNPI 1194264507
Title
Director
Phone
(970) 495-5916

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 DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

151 W Lake St Suite 1400 Colorado State University
Fort Collins, CO 80523-1571

Mailing address

8022 Campus Delivery Colorado State University
Fort Collins, CO 80523-8022
Phone (970) 495-5916

Other names 1

  • Kendall Reagan Nutrition Center Doing business as

National Provider Directory

National Provider Directory
Part of
Student Health Service

Locations

151 W Lake St
Ste 1400
Fort Collins, CO 80524
Phone (970) 495-5916

8022 Campus Delivery Colorado State University
Fort Collins, CO 80523

1571 Campus Delivery
Fort Collins, CO 80523
Phone (970) 491-1062

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1477085397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 CAMPUS DELIVERY COLORADO STATE UNIVERSITY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805238022",
            "telephone_number": "970-495-5916",
            "fax_number": "970-491-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W LAKE ST SUITE 1400 COLORADO STATE UNIVERSITY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805231571",
            "telephone_number": "970-495-5916",
            "fax_number": "970-491-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO STATE UNIVERSITY",
        "enumeration_date": "2017-03-30",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-495-5916",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendall Reagan Nutrition Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.