Active NPI
Jaci Salley, CNTP
- Nutritionist
- Denver, CO
National Provider Identifier
1902460298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 1091 E Bayaud Ave Apt W1507
Denver, CO 80209-2759 - Phone
- (612) 207-5214
- NPI assigned
- Apr 23, 2019
- Last updated
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | CO | Primary |
Addresses
Primary practice location
1091 E Bayaud Ave Apt W1507
Denver, CO 80209-2759
Mailing address
1101 E Bayaud Ave Apt E1201
Denver, CO 80209-2490
Phone (612) 207-5214
Other practice location 1
4155 E Jewell Ave Ste 714
Denver, CO 80222-4515
Phone (612) 207-5214
Other practice location 2
2500 18th St
Denver, CO 80211-3908
Phone (303) 953-2899
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dabolina Corp | 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, 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": "1555977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1902460298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 E BAYAUD AVE APT E1201",
"city": "DENVER",
"state": "CO",
"postal_code": "802092490",
"telephone_number": "612-207-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1091 E BAYAUD AVE APT W1507",
"city": "DENVER",
"state": "CO",
"postal_code": "802092759",
"telephone_number": "612-207-5214"
}
],
"practiceLocations": [
{
"address_1": "4155 E Jewell Ave Ste 714",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802224515",
"country_code": "US",
"telephone_number": "612-207-5214",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 18th St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802113908",
"country_code": "US",
"telephone_number": "303-953-2899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALLEY",
"first_name": "JACI",
"credential": "CNTP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-23",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 21, 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.