Individual provider Active NPI

Mikel Dionne Love, MS RD

  • Registered Dietitian
  • Durango, CO
National Provider Identifier
1699932129
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
951051 Issued in CO
Practice address
2530 Colorado Ave
Suite 2a
Durango, CO 81301-4760
Phone
(970) 259-1712
Fax
(970) 259-2466
NPI assigned
May 21, 2008
Last updated
Jul 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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 951051 CO Primary

Addresses

Primary practice location

2530 Colorado Ave
Suite 2a
Durango, CO 81301-4760

Mailing address

PO Box 2207
Durango, CO 81302-2207
Phone (970) 259-1712

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
951051COMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Wellness and Nutrition Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1699932129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2207",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813022207",
            "telephone_number": "970-259-1712",
            "fax_number": "970-259-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 COLORADO AVE",
            "address_2": "SUITE 2A",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014760",
            "telephone_number": "970-259-1712",
            "fax_number": "970-259-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "MIKEL",
        "middle_name": "DIONNE",
        "name_prefix": "Mrs.",
        "credential": "MS RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "951051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.