Forward Nutrition Co LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

FORWARD NUTRITION CO LLC

Practice address

7381 Tributary CT
Fountain, CO 80817-4716

Phone

(719) 373-3232

Fax

(719) 924-8260

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Stephanie Willard, MS, RDNPI 1548925258

Title

Owner/Registered Dietitian

Phone

(719) 373-3232

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Willard, MS RD

  • Registered Dietitian
  • Fountain, CO
  • NPI 1548925258

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1639838774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7381 TRIBUTARY CT",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808174716",
            "telephone_number": "719-373-3232",
            "fax_number": "719-924-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7381 TRIBUTARY CT",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808174716",
            "telephone_number": "719-373-3232",
            "fax_number": "719-924-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD NUTRITION CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "WILLARD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "719-373-3232",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmin Raquel Fleetwood
• Tammy Star Fleming
• Nicole M Flores, DO
• Kristin Florez, MA, NCC
• Sarah Fogle, PT, DPT
• Fountain Chiropractic and Wellness Center
• Fountain Chiropractic and Wellness Center
• Fountain Chiropractic, LLC
• Fountain Dental Center P.C.
• Fountain Dental Center, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.