Active NPI
Miranda Huiting, RD
- Registered Dietitian
- Broomfield, CO
National Provider Identifier
1891290607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86079803
- Practice address
- 4278 Cambridge Ave
Broomfield, CO 80020-7928 - Phone
- (209) 826-5337
- NPI assigned
- Mar 26, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86079803 | OH | |
| Registered Dietitian | 133V00000X | 86079803 | CO | Primary |
Addresses
Primary practice location
4278 Cambridge Ave
Broomfield, CO 80020-7928
Mailing address
4278 Cambridge Ave
Broomfield, CO 80020-7928
Phone (209) 826-5337
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 |
|---|---|---|---|
| 86079803 | CO | MD | Registered Dietitian |
| 86079803 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1891290607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4278 CAMBRIDGE AVE",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800207928",
"telephone_number": "209-826-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4278 CAMBRIDGE AVE",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800207928",
"telephone_number": "209-826-5337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUITING",
"first_name": "MIRANDA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "86079803",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "86079803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.