Bethany Pellerito, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

899 N Logan St
Ste 406
Denver, CO 80203-3155

Phone

(720) 664-8927

NPI assigned

Jul 18, 2022

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nourished With Hannah, LLC

  • Registered Dietitian
  • Denver, CO
  • NPI 1346714268

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1619602232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 N LOGAN ST STE 406",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033155",
            "telephone_number": "720-664-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 N LOGAN ST",
            "address_2": "STE 406",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033155",
            "telephone_number": "720-664-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLERITO",
        "first_name": "BETHANY",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "address_1": "899 N Logan St Ste 406",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802033155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Michael Pelander, M.D.
• Lisa Pelikan
• Amy Gart Pell
• Courtney Marie Pellegrino
• Mindy Pellegrino, MNT
• Julie Pellet, SLP
• Kathryn Pelletier, LMFTA
• Kiera Pelletier, LPC
• Paul Jacques Pelletier, MD
• Edward Pellissier

• Registered Dietitian in Denver, CO
• Providers in Denver, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.