Organization Active NPI

Carrie Schimmelpfennig Rd LLC

  • Registered Dietitian
  • Denver, CO
National Provider Identifier
1487318374
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CARRIE SCHIMMELPFENNIG RD LLC
Practice address
1039 Oak Cir
Denver, CO 80215-4535
Phone
(812) 320-5535
Fax
(720) 282-4629
NPI assigned
Oct 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Ms. Carrie Sue Schimmelpfennig, RDNPI 1568922698
Title
Owner
Phone
(812) 320-5535

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: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1039 Oak Cir
Denver, CO 80215-4535

Mailing address

1039 Oak Cir
Denver, CO 80215-4535
Phone (812) 320-5535

Other names 1

  • Shine Nutrition Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1487318374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 OAK CIR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802154535",
            "telephone_number": "812-320-5535",
            "fax_number": "720-282-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 OAK CIR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802154535",
            "telephone_number": "812-320-5535",
            "fax_number": "720-282-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE SCHIMMELPFENNIG RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "SCHIMMELPFENNIG",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-320-5535",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shine Nutrition",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.