Individual provider Active NPI

Carissa Kapperman, RD

  • Registered Dietitian
  • Greeley, CO
National Provider Identifier
1881303139
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86212040 Issued in CO
Practice address
5701 W 20TH St
Greeley, CO 80634-3045
Phone
(720) 340-1239
NPI assigned
Nov 15, 2022
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86212040 CO Primary

Addresses

Primary practice location

5701 W 20TH St
Greeley, CO 80634-3045

Mailing address

5701 W 20TH St
Greeley, CO 80634-2914
Phone (720) 340-1239

Other practice location 1

5236 Strauss Cabin Rd
Fort Collins, CO 80528-9555
Phone (720) 340-1239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240509000852 TX Practitioner - Registered Dietitian Or Nutrition Professional 4284007030 Reassigns benefits to 1 organization
I20250325000925 CO Practitioner - Registered Dietitian Or Nutrition Professional 4284007030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86212040COMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered CurrentSince Apr 2, 2024 Accepting new patients
Bite for Bite Nutrition Counseling, LLC Dietitian, Registered CurrentSince Feb 10, 2025 Accepting new patients

Locations

4333 Corbett Dr
Fort Collins, CO 80525
Phone (205) 213-2571

5236 Strauss Cabin Rd
Fort Collins, CO 80528
Phone (970) 239-3929

5701 W 20th St
Greeley, CO 80634
Phone (720) 340-1239

423 Main St
Windsor, CO 80550
Phone (720) 340-1239

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

Organizations & group practices 2

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": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1881303139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W 20TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342914",
            "telephone_number": "720-340-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 20TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343045",
            "telephone_number": "720-340-1239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5236 Strauss Cabin Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805289555",
            "country_code": "US",
            "telephone_number": "720-340-1239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPPERMAN",
        "first_name": "CARISSA",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "86212040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.