Individual provider Active NPI

Judy Marie Lafler Converse, M.P.H., R.D., L.D.

  • Pediatric Nutrition Registered Dietitian
  • Boulder, CO
National Provider Identifier
1760652465
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
License
429 Issued in MA
Practice address
1150 Maxwell Ave
Boulder, CO 80304-4185
Phone
(303) 842-8255
Fax
(303) 440-3332
NPI assigned
Mar 10, 2008
Last updated
Mar 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered Dietitian 133VN1004X 429 MA Primary

Addresses

Primary practice location

1150 Maxwell Ave
Boulder, CO 80304-4185

Mailing address

1150 Maxwell Ave
Boulder, CO 80304-4185

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

State licenses

LicenseStateTypeSpecialty
429MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1760652465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MAXWELL AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MAXWELL AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044185",
            "telephone_number": "303-842-8255",
            "fax_number": "303-440-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFLER CONVERSE",
        "first_name": "JUDY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.P.H., R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "MA",
            "license": "429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.