Individual provider Active NPI

Sharilonn Havourd, MS, CNS, LDN

  • Nutritionist
  • Aspen, CO
National Provider Identifier
1699465047
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX5545 Issued in MD
Practice address
600 E Hopkins Ave Ste 301
Aspen, CO 81611-2934
Phone
(970) 309-0149
Fax
(855) 754-1128
NPI assigned
May 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DX5545 MD Primary

Addresses

Primary practice location

600 E Hopkins Ave Ste 301
Aspen, CO 81611-2934

Mailing address

600 E Hopkins Ave Ste 301
Aspen, CO 81611-2934
Phone (970) 309-0149

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
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
DX5545MDMDNutritionist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1699465047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E HOPKINS AVE STE 301",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816112934",
            "telephone_number": "970-309-0149",
            "fax_number": "855-754-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E HOPKINS AVE STE 301",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816112934",
            "telephone_number": "970-309-0149",
            "fax_number": "855-754-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVOURD",
        "first_name": "SHARILONN",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX5545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.