Organization Active NPI

Julia Chervinka Nutrition Therapy LLC

  • Health Service Clinic/Center
  • Monument, CO
National Provider Identifier
1699486662
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
JULIA CHERVINKA NUTRITION THERAPY LLC
Practice address
15926 Midland Valley Way
Monument, CO 80132-6108
Phone
(503) 816-7324
NPI assigned
Dec 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Mrs. Julia ChervinkaNPI 1780345595
Title
Rd
Phone
(503) 816-7324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

15926 Midland Valley Way
Monument, CO 80132-6108

Mailing address

15926 Midland Valley Way
Monument, CO 80132-6108
Phone (503) 816-7324

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1699486662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15926 MIDLAND VALLEY WAY",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801326108",
            "telephone_number": "503-816-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15926 MIDLAND VALLEY WAY",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801326108",
            "telephone_number": "503-816-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA CHERVINKA NUTRITION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "CHERVINKA",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "RD",
        "authorized_official_telephone_number": "503-816-7324",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.