Active NPI
Lara B. Ulfers, MS, RD, CSSD
- Registered Dietitian
- Fort Collins, CO
National Provider Identifier
1710257142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01001243
- Practice address
- 2555 S Shields St
Fort Collins, CO 80526-1823 - Phone
- (970) 402-8900
- NPI assigned
- Jan 2, 2012
- Last updated
- Jul 12, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 01001243 | CO | Primary |
Addresses
Primary practice location
2555 S Shields St
Fort Collins, CO 80526-1823
Mailing address
1612 Lakeridge CT
Fort Collins, CO 80521-4424
Phone (970) 402-8900
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01001243 | CO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go-to Nutrition, LLC | Dietitian, Registered | 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": "1325462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1710257142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 LAKERIDGE CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805214424",
"telephone_number": "970-402-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 S SHIELDS ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805261823",
"telephone_number": "970-402-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULFERS",
"first_name": "LARA",
"middle_name": "B.",
"credential": "MS, RD, CSSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-02",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "01001243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.