Active NPI
Emma Elaine Swenson, RD
- Registered Dietitian
- Boulder, CO
National Provider Identifier
1679128938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86110547
- Practice address
- 2935 Baseline Rd Ste 302
Boulder, CO 80303-2367 - Phone
- (720) 315-0051
- NPI assigned
- Aug 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86110547 | CO | Primary |
Addresses
Primary practice location
2935 Baseline Rd Ste 302
Boulder, CO 80303-2367
Mailing address
256 McCaslin Blvd Apt 205
Louisville, CO 80027-2921
Phone (435) 770-5887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86110547 | Other | CO | RDN NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | emma@essentialnutrition.com |
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 |
|---|---|---|---|
| 86110547 | CO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1679128938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 MCCASLIN BLVD APT 205",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800272921",
"telephone_number": "435-770-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 BASELINE RD STE 302",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032367",
"telephone_number": "720-315-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON",
"first_name": "EMMA",
"middle_name": "ELAINE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "86110547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RDN NUMBER",
"identifier": "86110547",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "emma@essentialnutrition.com",
"affiliation": "N",
"address_1": "2935 Baseline Rd Ste 302",
"city": "Boulder",
"state": "CO",
"country_code": "US",
"postal_code": "803032367",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.