Individual provider Active NPI

Tenia Brianne Bengtson, CPHT, NUTRITIONIST

  • Nutritionist
  • Westminster, CO
National Provider Identifier
1831952217
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
PHAT.0010237 Issued in CO
Practice address
1499 W 120TH Ave Ste 110
Westminster, CO 80234-2719
Phone
(720) 403-6553
Fax
(720) 710-1308
NPI assigned
Jan 30, 2024
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X PHAT.0010237 CO Primary
Nutrition Education Nutritionist 133NN1002X PHAT.0010237 CO
Pharmacy Technician 183700000X PHAT.0010237 CO

Addresses

Primary practice location

1499 W 120TH Ave Ste 110
Westminster, CO 80234-2719

Mailing address

12108 Melody Dr Apt 204
Westminster, CO 80234-2116
Phone (720) 403-6553

Other practice location 1

12108 Melody Dr Apt 204
Westminster, CO 80234-2116
Phone (720) 403-6553

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
PHAT.0010237COMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Solutions Co. LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

1499 W 120th Ave
Ste 110
Westminster, CO 80234
Phone (720) 403-6553

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": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1831952217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12108 MELODY DR APT 204",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342116",
            "telephone_number": "720-403-6553",
            "fax_number": "720-707-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 W 120TH AVE STE 110",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342719",
            "telephone_number": "720-403-6553",
            "fax_number": "720-710-1308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12108 Melody Dr Apt 204",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802342116",
            "country_code": "US",
            "telephone_number": "720-403-6553",
            "fax_number": "720-707-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENGTSON",
        "first_name": "TENIA",
        "middle_name": "BRIANNE",
        "credential": "CPHT, NUTRITIONIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CO",
            "license": "PHAT.0010237",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CO",
            "license": "PHAT.0010237",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CO",
            "license": "PHAT.0010237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.

Verify at the official NPI Registry.