Active NPI
Nutri-Bol LLC
- Registered Dietitian
- Centennial, CO
National Provider Identifier
1780446856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRI-BOL LLC
- Practice address
- 8085 S Chester St
Centennial, CO 80112-3543 - Phone
- (720) 255-9470
- NPI assigned
- Jan 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Francisco Antonio Padilla, MS. RDN. CSSD
- Title
- Owner / Dietitian
- Phone
- (720) 255-9470
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X |
Addresses
Primary practice location
8085 S Chester St
Centennial, CO 80112-3543
Mailing address
834 S Joplin Cir
Aurora, CO 80017-3068
Phone (720) 255-9470
Other practice location 1
834 S Joplin Cir
Aurora, CO 80017-3068
Phone (720) 255-9470
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Centennial, CO
- NPI 1730950254
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706140800000",
"number": "1780446856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 S JOPLIN CIR",
"city": "AURORA",
"state": "CO",
"postal_code": "800173068",
"telephone_number": "720-255-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8085 S CHESTER ST",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123543",
"telephone_number": "720-255-9470"
}
],
"practiceLocations": [
{
"address_1": "834 S Joplin Cir",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800173068",
"country_code": "US",
"telephone_number": "720-255-9470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NUTRI-BOL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-25",
"last_updated": "2024-01-25",
"certification_date": "2024-01-24",
"status": "A",
"authorized_official_last_name": "PADILLA",
"authorized_official_first_name": "FRANCISCO",
"authorized_official_middle_name": "ANTONIO",
"authorized_official_title_or_position": "OWNER / DIETITIAN",
"authorized_official_telephone_number": "720-255-9470",
"authorized_official_credential": "MS. RDN. CSSD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1501X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.