Individual provider Active NPI

Miriam E Zambrano, MS, RDN, LMNT

  • Registered Dietitian
  • Colorado Springs, CO
National Provider Identifier
1629309109
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
941 Issued in NE
Practice address
2339 Rusty Ridge CT
Colorado Springs, CO 80921-2077
Phone
(402) 850-8083
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 941 NE Primary

Addresses

Primary practice location

2339 Rusty Ridge CT
Colorado Springs, CO 80921-2077

Mailing address

2339 Rusty Ridge CT
Colorado Springs, CO 80921-2077
Phone (402) 850-8083

Other names 1

  • Miriam E Flack Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, WI, DC, CO, NJ, NV, GA, WA9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20250217001779 TX Practitioner - Registered Dietitian Or Nutrition Professional 8628598919 Reassigns benefits to 2 organizations
I20250415003302 AZ Practitioner - Registered Dietitian Or Nutrition Professional 8628598919 Reassigns benefits to 3 organizations
I20250416001294 WI Practitioner - Registered Dietitian Or Nutrition Professional 8628598919 Reassigns benefits to 1 organization
I20250604001924 DC Practitioner - Registered Dietitian Or Nutrition Professional 8628598919 Reassigns benefits to 1 organization
I20250801003008 CO Practitioner - Registered Dietitian Or Nutrition Professional 8628598919 Reassigns benefits to 2 organizations
I20250825000402 NJ Practitioner - Registered Dietitian Or Nutrition Professional 8628598919 Reassigns benefits to 1 organization
I20250905004640 NV Practitioner - Registered Dietitian Or Nutrition Professional 8628598919 Reassigns benefits to 1 organization
I20250925001579 GA Practitioner - Registered Dietitian Or Nutrition Professional 8628598919 Reassigns benefits to 2 organizations
I20251203002773 WA Practitioner - Registered Dietitian Or Nutrition Professional 8628598919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surely Health IncGroup PAC ID 3072960491, 47 clinicians

Practice addresses (Care Compare)

130 E Congress St
Suite 200 139
Tucson, AZ 85701-1708
Phone (724) 307-5926

3480 Preston Ridge Rd
Suite 500
Alpharetta, GA 30005-5460
Phone (412) 287-4983

6565 N Macarthur Blvd
Suite 225
Irving, TX 75039-2482
Phone (888) 807-4117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Season Clinical Care P.a. Dietitian, Registered CurrentSince Dec 12, 2024 Accepting new patients
Surely Health, Inc. Dietitian, Registered CurrentSince Jan 11, 2025 Accepting new patients
Uhling Consulting, LLC Dietitian, Registered CurrentSince Feb 14, 2025 Accepting new patients
Season Clinical Care NJ PC Dietitian, Registered CurrentSince Jul 1, 2025 Accepting new patients
H-E-B, LP PastSince Jul 1, 2025 Accepting new patients

Locations

20325 N 51st Ave
Ste 126
Glendale, AZ 85308
Phone (602) 341-5248

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

130 E Congress St
Ste 213
Tucson, AZ 85701

130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926

102 S Tejon St
Ste 100
Colorado Springs, CO 80903
Phone (970) 319-2999

3480 Preston Ridge Rd
Ste 500
Alpharetta, GA 30005
Phone (412) 287-4983

1719 Highway 10
Ste 300
Parsippany, NJ 07054

1719 Highway 10
Parsippany, NJ 07054

9805 Double R Blvd
Ste 300
Reno, NV 89521
Phone (775) 412-7385

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489

1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364

2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423

3600 136th Pl SE
Bellevue, WA 98006

345 W Washington Ave
Ste 301
Madison, WI 53703
Phone (312) 999-0201

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19691/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1629309109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 RUSTY RIDGE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212077",
            "telephone_number": "402-850-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 RUSTY RIDGE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212077",
            "telephone_number": "402-850-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBRANO",
        "first_name": "MIRIAM",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MS, RDN, LMNT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "FLACK",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.