Individual provider Active NPI

Mary-Catherine Labossiere, MPH, RD, LDN

  • Registered Dietitian
  • Colorado Springs, CO
National Provider Identifier
1922669969
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
2910 N Powers Blvd # 141
Colorado Springs, CO 80922-2801
Phone
(615) 434-2596
NPI assigned
Jun 20, 2019
Last updated
May 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4147 MA
Registered Dietitian 133V00000X 0878 RI
Registered Dietitian 133V00000X 251549 KY
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

2910 N Powers Blvd # 141
Colorado Springs, CO 80922-2801

Mailing address

2910 N Powers Blvd # 141
Colorado Springs, CO 80922-2801

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

LicenseStateTypeSpecialty
4147MAMDClinical Psychologist
251549KYMDRegistered Dietitian
0878RIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Dietitian, Registered Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mary-catherinelabossiere@tdh.allscriptsdirect.net

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1922669969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 N POWERS BLVD # 141",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 N POWERS BLVD # 141",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222801",
            "telephone_number": "615-434-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOSSIERE",
        "first_name": "MARY-CATHERINE",
        "credential": "MPH, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4147",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "0878",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "251549",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.