Organization Active NPI

Malena Nutricion

  • Registered Dietitian
  • Denver, CO
National Provider Identifier
1861161507
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MALENA NUTRICION
Practice address
1190 S Honey Way
Denver, CO 80224-1914
Phone
(303) 915-0874
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Mrs. Malena E Perdomo, RDN
Title
Dietitian
Phone
(303) 915-0874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1190 S Honey Way
Denver, CO 80224-1914

Mailing address

1190 S Honey Way
Denver, CO 80224-1914
Phone (303) 915-0874

Other names 1

  • Malena Perdomo Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1861161507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 S HONEY WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241914",
            "telephone_number": "303-915-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S HONEY WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241914",
            "telephone_number": "303-915-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALENA NUTRICION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "PERDOMO",
        "authorized_official_first_name": "MALENA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "303-915-0874",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malena Perdomo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.