Individual provider Active NPI

Donna Bryant Landry, RD

  • Registered Dietitian
  • Grand Junction, CO
National Provider Identifier
1902172794
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
883605 Issued in NU
Practice address
710 Wellington Ave
Suite 20
Grand Junction, CO 81501-6123
Phone
(970) 298-7106
Fax
(970) 298-7177
NPI assigned
Mar 27, 2012
Last updated
Mar 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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 883605 NU Primary

Addresses

Primary practice location

710 Wellington Ave
Suite 20
Grand Junction, CO 81501-6123

Mailing address

710 Wellington Ave
Suite 20
Grand Junction, CO 81501-6123
Phone (970) 298-7106

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1902172794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 WELLINGTON AVE",
            "address_2": "SUITE 20",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016123",
            "telephone_number": "970-298-7106",
            "fax_number": "970-298-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 WELLINGTON AVE",
            "address_2": "SUITE 20",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016123",
            "telephone_number": "970-298-7106",
            "fax_number": "970-298-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "DONNA",
        "middle_name": "BRYANT",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "883605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.