Active NPI
Dana Deboer
- Nutritionist
- Denver, CO
National Provider Identifier
1508371832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 2575 South Syracuse Way
J104
Denver, CO 80231-8023 - Phone
- (262) 945-0966
- Fax
- (262) 945-0966
- NPI assigned
- Dec 8, 2017
- Last updated
- Dec 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NU | Primary |
Addresses
Primary practice location
2575 South Syracuse Way
J104
Denver, CO 80231-8023
Mailing address
2575 S Syracuse Way
Denver, CO 80231-3832
Phone (262) 945-0966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512691200000",
"number": "1508371832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 S SYRACUSE WAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802313832",
"telephone_number": "262-945-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 SOUTH SYRACUSE WAY",
"address_2": "J104",
"city": "DENVER",
"state": "CO",
"postal_code": "802318023",
"telephone_number": "262-945-0966",
"fax_number": "262-945-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOER",
"first_name": "DANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-08",
"last_updated": "2017-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.