Active NPI
Carolyn Mary Cordova, RD,MPH,CDE
- Registered Dietitian
- Pueblo, CO
National Provider Identifier
1649450941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 718076
- Practice address
- 400 W 16TH St
Parkview Medical Center
Pueblo, CO 81003-2745 - Phone
- (719) 584-4358
- Fax
- (719) 583-7304
- NPI assigned
- Nov 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 718076 | CO | Primary |
Addresses
Primary practice location
400 W 16TH St
Parkview Medical Center
Pueblo, CO 81003-2745
Mailing address
400 W 16TH St
Parkview Medical Center
Pueblo, CO 81003-2745
Phone (719) 584-4358
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1649450941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W 16TH ST",
"address_2": "PARKVIEW MEDICAL CENTER",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032745",
"telephone_number": "719-584-4358",
"fax_number": "719-583-7304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 16TH ST",
"address_2": "PARKVIEW MEDICAL CENTER",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032745",
"telephone_number": "719-584-4358",
"fax_number": "719-583-7304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA",
"first_name": "CAROLYN",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "RD,MPH,CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-05",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "718076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.