Davita CKD Dietitians, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1018836 Issued in CO

Legal business name

DAVITA CKD DIETITIANS, LLC

Practice address

2000 16TH St
JLD/Secgovfin
Denver, CO 80202-5117

Phone

(303) 876-6438

NPI assigned

Apr 1, 2016

Organization subpart

No

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

Authorized official

Name

Allison Maniche

Title

Manager of Special Projects

Phone

(303) 941-7463

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1871956276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HAWAII ST",
            "address_2": "JLD/SECGOVFIN",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 16TH ST",
            "address_2": "JLD/SECGOVFIN",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025117",
            "telephone_number": "303-876-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVITA CKD DIETITIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "MANICHE",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "MANAGER OF SPECIAL PROJECTS",
        "authorized_official_telephone_number": "303-941-7463"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "1018836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Ann Davis, RN
• Brandon Scott Davison Tracy, MD
• Blake Davison
• Cherise Davison
• Selah Davison, MSW, LCSW
• Davita Inc
• Wendy Michelle Davydov
• Roberta Ruth Daw, BSN, RN, PTA
• Rahel S Dawit, PHARMD
• Angela Dawkins, ARNP

• Registered Dietitian in Denver, CO
• Providers in Denver, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.