Active NPI
Christine R Zimmerman, MPH RD CDE
- Registered Dietitian
- Lakewood, CO
National Provider Identifier
1689811028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 861154
- Practice address
- 1536 Cole Blvd Ste 120
Lakewood, CO 80401-3405 - Phone
- (720) 284-7276
- NPI assigned
- Jan 7, 2009
- Last updated
- Mar 29, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NU | ||
| Registered Dietitian | 133V00000X | 861154 | CO | Primary |
| Renal Nutrition Registered Dietitian | 133VN1005X | NU | ||
| Health Educator | 174H00000X | NU |
Addresses
Primary practice location
1536 Cole Blvd Ste 120
Lakewood, CO 80401-3405
Mailing address
1536 Cole Blvd Ste 120
Lakewood, CO 80401-3405
Phone (720) 284-7276
Other practice location 1
950 E Harvard Ave
Suite 240
Denver, CO 80210-7009
Phone (303) 871-0977
Other practice location 2
YMCA of Littleton
11 West Dry Creek Ct
Littleton, CO 80120
Phone (720) 390-9459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04015087 | Medicaid | CO |
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 |
|---|---|---|---|
| Medical Nutrition Specialists LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Registered Dietitian
- Brighton, CO
- NPI 1356977854
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1689811028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 COLE BLVD STE 120",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "804013405",
"telephone_number": "720-284-7276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1536 COLE BLVD STE 120",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "804013405",
"telephone_number": "720-284-7276"
}
],
"practiceLocations": [
{
"address_1": "950 E Harvard Ave",
"address_2": "Suite 240",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802107009",
"country_code": "US",
"telephone_number": "303-871-0977",
"fax_number": "303-733-2387",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "YMCA of Littleton",
"address_2": "11 West Dry Creek Ct",
"address_purpose": "LOCATION",
"city": "Littleton",
"state": "CO",
"postal_code": "80120",
"country_code": "US",
"telephone_number": "720-390-9459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "CHRISTINE",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "MPH RD CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "861154",
"primary": true
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04015087",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.