Active NPI
Jaimie Lopez, RDN, IBCLC, NBC-HWC
- Registered Dietitian
- Montrose, CO
National Provider Identifier
1639947971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1049743
- Practice address
- 800 S 3Rd St
Montrose, CO 81401-4212 - Phone
- (970) 240-7280
- NPI assigned
- Dec 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | 354335640 | AZ | |
| Lactation Consultant (Non-RN) | 174N00000X | L-49587 | CO | |
| Registered Dietitian | 133V00000X | 1049743 | AZ | Primary |
Addresses
Primary practice location
800 S 3Rd St
Montrose, CO 81401-4212
Mailing address
800 S 3Rd St
Montrose, CO 81401-4212
Phone (970) 240-7280
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1049743 | AZ | MD | Registered Dietitian |
| 354335640 | AZ | MD | Health & Wellness Coach |
| L-49587 | CO | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montrose Regional Health | Dietitian, Registered | Current | Accepting new patients |
Locations
800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713657600000",
"number": "1639947971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S 3RD ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014212",
"telephone_number": "970-240-7280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S 3RD ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014212",
"telephone_number": "970-240-7280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JAIMIE",
"credential": "RDN, IBCLC, NBC-HWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-15",
"last_updated": "2024-04-21",
"certification_date": "2024-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "AZ",
"license": "354335640",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "CO",
"license": "L-49587",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "1049743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.