Individual provider Active NPI

Teresa May Sieg, RD, CDE

  • Registered Dietitian
  • Greeley, CO
National Provider Identifier
1962653477
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
716166
Practice address
1600 23Rd Ave
Greeley, CO 80634-6070
Phone
(970) 810-2424
Fax
(970) 810-2774
NPI assigned
Oct 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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 716166 Primary

Addresses

Primary practice location

1600 23Rd Ave
Greeley, CO 80634-6070

Mailing address

1600 23Rd Ave
Greeley, CO 80634-6070
Phone (970) 810-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090115000270 CO Practitioner - Registered Dietitian Or Nutrition Professional 3870656929 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Jan 1, 2012 Accepting new patients
North Colorado Family Medicine CurrentSince Feb 15, 2017 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Jan 1, 2012 Accepting new patients
Banner Greeley Specialists Past Accepting new patients
Banner Medical Group Greeley LLC Past Accepting new patients

Locations

702 W Drake Rd
Ste A
Fort Collins, CO 80526
Phone (970) 229-4600

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1600 23rd Ave
Greeley, CO 80634
Phone (970) 356-2424

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1813 Cheyenne Ave
Loveland, CO 80538
Phone (970) 203-6801

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1962653477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 23RD AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346070",
            "telephone_number": "970-810-2424",
            "fax_number": "970-810-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 23RD AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346070",
            "telephone_number": "970-810-2424",
            "fax_number": "970-810-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEG",
        "first_name": "TERESA",
        "middle_name": "MAY",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "716166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.