NPIMap

Organization Active NPI

Nourished Roots Nutrition

  • Registered Dietitian
  • Denver, CO
National Provider Identifier
1497270854
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NOURISHED ROOTS NUTRITION
Practice address
523 E 12TH Ave Apt 2
Denver, CO 80203-2546
Phone
(973) 901-5081
Fax
(303) 209-8482
NPI assigned
Aug 7, 2017
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
Sally Hammer, RD
Title
Owner
Phone
(973) 901-5081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

523 E 12TH Ave Apt 2
Denver, CO 80203-2546

Mailing address

523 E 12TH Ave Apt 2
Denver, CO 80203-2546
Phone (973) 901-5081

Other names 1

  • Nourished Roots Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497270854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E 12TH AVE APT 2",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032546",
            "telephone_number": "973-901-5081",
            "fax_number": "303-209-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E 12TH AVE APT 2",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032546",
            "telephone_number": "973-901-5081",
            "fax_number": "303-209-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED ROOTS NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-901-5081",
        "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": "Nourished Roots",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 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.

Verify at the official NPI Registry.