Active NPI
Carly Ann Micek
- Nutritionist
- Denver, CO
National Provider Identifier
1548149180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 2525 15TH St
Denver, CO 80211-3989 - Phone
- (859) 779-0419
- NPI assigned
- Aug 28, 2025
- Last updated
- Aug 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NU | Primary | |
| Health & Wellness Coach | 171400000X | QSSS85IEQY | NU |
Addresses
Primary practice location
2525 15TH St
Denver, CO 80211-3989
Mailing address
9373 Morning Glory LN
Highlands Ranch, CO 80130-4494
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": "1756339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1548149180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9373 MORNING GLORY LN",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801304494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 15TH ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802113989",
"telephone_number": "859-779-0419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICEK",
"first_name": "CARLY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-28",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": "QSSS85IEQY",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
- Mia Donley LLC (Mia Donley Nutrition)
- Miaken L. Zeigler, D.C. Corp. (Zeigler Chiropractic)
- Miaken L. Zeigler, D.C. Corp. (Zeigler Chiropractic)
- Mic Optical Sourcing,Inc.
- Joy H Miccio, RN
- Jane Frances Miceli, M.D.
- Michael a Snyder MD PC
- Michael a. Ament, M.D., PLLC
- Michael C Bateman, MD, PC
- Michael D Bellon DDS Ms PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.