Individual provider Active NPI

Emma Elaine Swenson, RD

  • Registered Dietitian
  • Boulder, CO
National Provider Identifier
1679128938
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86110547 Issued in CO
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

Updated by the provider on Aug 5, 2019

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 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

IdentifierTypeStateIssuer
86110547OtherCORDN NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
86110547COMDRegistered 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.

Verify at the official NPI Registry.