Organization Active NPI

Jane Reagan Nutrition

  • Registered Dietitian
  • Boulder, CO
National Provider Identifier
1922835784
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
JANE REAGAN NUTRITION
Practice address
1949 Pearl St
Boulder, CO 80302-4496
Phone
(303) 953-4111
Fax
(303) 330-0396
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Jane Reagan, MED, RDN, CEDS-CNPI 1255695722
Title
Registered Dietitian
Phone
(303) 953-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1949 Pearl St
Boulder, CO 80302-4496

Mailing address

1949 Pearl St
Boulder, CO 80302-4496
Phone (303) 953-4111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1922835784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 PEARL ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024496",
            "telephone_number": "303-953-4111",
            "fax_number": "303-330-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 PEARL ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024496",
            "telephone_number": "303-953-4111",
            "fax_number": "303-330-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE REAGAN NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "303-953-4111",
        "authorized_official_credential": "MED, RDN, CEDS-C"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.