Individual provider Active NPI

Sergio Armando Torres de Jesus, RDN

  • Registered Dietitian
  • Fort Collins, CO
National Provider Identifier
1609404193
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86116235
Practice address
3104 Swallow BND
Fort Collins, CO 80525-2739
Phone
(787) 543-5649
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86116235 Primary

Addresses

Primary practice location

3104 Swallow BND
Fort Collins, CO 80525-2739

Mailing address

3104 Swallow BND
Fort Collins, CO 80525-2739
Phone (787) 543-5649

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1609404193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 SWALLOW BND",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252739",
            "telephone_number": "787-543-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 SWALLOW BND",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252739",
            "telephone_number": "787-543-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES DE JESUS",
        "first_name": "SERGIO",
        "middle_name": "ARMANDO",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86116235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 30, 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.