Active NPI
Michael Aguilar, RD
- Registered Dietitian
- Broomfield, CO
National Provider Identifier
1750118576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86043129
- Practice address
- 2954 W 135TH Ave
Broomfield, CO 80020-5130 - Phone
- (720) 226-7351
- NPI assigned
- Sep 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dietary Manager | 132700000X | 86043129 | CO | |
| Registered Dietitian | 133V00000X | 86043129 | CO | Primary |
Addresses
Primary practice location
2954 W 135TH Ave
Broomfield, CO 80020-5130
Mailing address
2954 W 135TH Ave
Broomfield, CO 80020-5130
Phone (720) 226-7351
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86043129 | CO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1750118576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2954 W 135TH AVE",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800205130",
"telephone_number": "720-226-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2954 W 135TH AVE",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800205130",
"telephone_number": "720-226-7351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": "CO",
"license": "86043129",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "86043129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.