Active NPI
Jo Panyko, MNT
- Nutritionist
- Centennial, CO
National Provider Identifier
1932404068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- NONE REQUIRED
- Practice address
- 2221 E Arapahoe Rd # 2083
Centennial, CO 80122-1505 - Phone
- (303) 549-6818
- NPI assigned
- Jan 20, 2011
- Last updated
- Feb 6, 2017
- 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 | NONE REQUIRED | CO | Primary |
Addresses
Primary practice location
2221 E Arapahoe Rd # 2083
Centennial, CO 80122-1505
Mailing address
2221 E Arapahoe Rd # 2083
Centennial, CO 80122-1505
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 |
|---|---|---|---|
| NONE REQUIRED | CO | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1932404068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 E ARAPAHOE RD # 2083",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801221505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 E ARAPAHOE RD # 2083",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801221505",
"telephone_number": "303-549-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANYKO",
"first_name": "JO",
"name_prefix": "Ms.",
"credential": "MNT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CO",
"license": "NONE REQUIRED",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
- Panorama Orthopedics & Spine Center, PC (Panorama Orthopedics & Spine Center Physical Therapy)
- Panorama Orthopedics & Spine Center, PC (Rocky Mountain Spine and Sport)
- Panorama Orthopedics & Spine Center, PC
- Panorama Orthopedics and Spine Center PC
- Panorama Orthopedics and Spine Center PC
- Christina Papadakos
- Harper J Papke
- Andrew Paquet
- Chris M Paradee, PA-C
- Paragon Behavioral Health Connections
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.