Organization Active NPI

Mesomorpheus LLC

Doing business as Mesomorpheus

  • Health Educator
  • Boulder, CO
National Provider Identifier
1851871396
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
MESOMORPHEUS LLC
Doing business as
Mesomorpheus
Practice address
5485 Conestoga CT Ste 110B
Boulder, CO 80301-2752
Phone
(720) 772-1444
Fax
(844) 300-7826
NPI assigned
Aug 15, 2018
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Mr. Joseph William EslerNPI 1346714656
Title
Personal Trainer & Nutritionist
Phone
(720) 772-1444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

5485 Conestoga CT Ste 110B
Boulder, CO 80301-2752

Mailing address

PO Box 19374
Boulder, CO 80308-2374
Phone (720) 772-1444

Other practice location 1

2995 55th St Unit 19374
Boulder, CO 80308-5296
Phone (720) 772-1444

Other names 1

  • Mesomorpheus Doing business as

National Provider Directory

National Provider Directory

Locations

2995 55th St
Unit 19374
Boulder, CO 80308
Phone (720) 772-1444

5485 Conestoga Ct
Ste 110B
Boulder, CO 80301
Phone (303) 905-5112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1851871396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19374",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803082374",
            "telephone_number": "720-772-1444",
            "fax_number": "844-300-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5485 CONESTOGA CT STE 110B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012752",
            "telephone_number": "720-772-1444",
            "fax_number": "844-300-7826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2995 55th St Unit 19374",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803085296",
            "country_code": "US",
            "telephone_number": "720-772-1444",
            "fax_number": "844-300-7826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MESOMORPHEUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ESLER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PERSONAL TRAINER & NUTRITIONIST",
        "authorized_official_telephone_number": "720-772-1444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesomorpheus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mesomorpheus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 11, 2019; 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.