NPIMap

Organization Active NPI

Nutrition and Cancer Connection, LLC

  • Registered Dietitian
  • Fort Collins, CO
National Provider Identifier
1730461096
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION AND CANCER CONNECTION, LLC
Practice address
802 Stover St
Fort Collins, CO 80524-3417
Phone
(970) 481-6463
NPI assigned
Sep 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Mr. Brian S Miller, M.S., R.D.
Title
Owner
Phone
(970) 481-6463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

802 Stover St
Fort Collins, CO 80524-3417

Mailing address

802 Stover St
Fort Collins, CO 80524-3417
Phone (970) 481-6463

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1730461096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 STOVER ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243417",
            "telephone_number": "970-481-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 STOVER ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243417",
            "telephone_number": "970-481-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION AND CANCER CONNECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-481-6463",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 1, 2015; 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.