Individual provider Active NPI

Carrie Ann Weitzel, RD

  • Registered Dietitian
  • Arvada, CO
National Provider Identifier
1679023758
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1039668 Issued in IN
Practice address
8600 Ralston Rd Ste 112
Arvada, CO 80002-2373
Phone
(720) 722-3438
Fax
(844) 364-8548
NPI assigned
Oct 12, 2016
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 1039668 IN Primary

Addresses

Primary practice location

8600 Ralston Rd Ste 112
Arvada, CO 80002-2373

Mailing address

8600 Ralston Rd Ste 112
Arvada, CO 80002-2373
Phone (720) 722-3438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170206001691 CO Practitioner - Registered Dietitian Or Nutrition Professional 1456634062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8600 Ralston Rd
Suite 112
Arvada, CO 80002-2373
Phone (720) 722-3438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1039668INMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Nutrition Counseling, LLC Dietitian, Registered CurrentSince Nov 12, 2016 Accepting new patients

Locations

8600 Ralston Rd
Ste 108
Arvada, CO 80002

8600 Ralston Rd
Ste 112
Arvada, CO 80002
Phone (720) 722-3438

44 Cook St
Ste 100
Denver, CO 80206
Phone (303) 398-7000

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": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1679023758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 RALSTON RD STE 112",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022373",
            "telephone_number": "720-722-3438",
            "fax_number": "844-364-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 RALSTON RD STE 112",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022373",
            "telephone_number": "720-722-3438",
            "fax_number": "844-364-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZEL",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "1039668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.