Active NPI
Tenia Brianne Bengtson, CPHT, NUTRITIONIST
- Nutritionist
- Westminster, CO
National Provider Identifier
1831952217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- PHAT.0010237
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PHAT.0010237 | CO | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Solutions Co. LLC | Current | 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.
-
- Medical Specialty Clinic/Center
- Westminster, CO
- NPI 1083477954
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.