Individual provider Active NPI

Stephen Richard Menyhart, RD, SNS

  • Registered Dietitian
  • Boulder, CO
National Provider Identifier
1982442877
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86013128 Issued in CO
Practice address
3035 Birch Ave
Boulder, CO 80305-3456
Phone
(720) 370-0207
NPI assigned
Jul 16, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 86013128 CO Primary

Addresses

Primary practice location

3035 Birch Ave
Boulder, CO 80305-3456

Mailing address

3035 Birch Ave
Boulder, CO 80305-3456
Phone (720) 370-0207

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
86013128COMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Healthier Tomorrows, PLLC Dietitian, Registered PastSince Jan 26, 2022 Accepting new patients
Nutrition Dynamix, LLC Single Specialty PastSince Sep 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1982442877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 BIRCH AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053456",
            "telephone_number": "720-370-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 BIRCH AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053456",
            "telephone_number": "720-370-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENYHART",
        "first_name": "STEPHEN",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "RD, SNS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "86013128",
            "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 Jul 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.