Organization Active NPI

Simply Nourished Nutrition LLC

  • Clinic/Center
  • Denver, CO
National Provider Identifier
1982457933
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SIMPLY NOURISHED NUTRITION LLC
Practice address
2222 E Tennessee Ave
Denver, CO 80209-4637
Phone
(720) 772-7120
NPI assigned
Apr 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Ellen Freeman, MSN, RDNNPI 1225693468
Title
Founder
Phone
(303) 229-9840

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2222 E Tennessee Ave
Denver, CO 80209-4637

Mailing address

1958 S Grant St
Denver, CO 80210-4022

National Provider Directory

National Provider Directory

Locations

2222 E Tennessee Ave
Denver, CO 80209
Phone (720) 772-7120

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": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1982457933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 S GRANT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802104022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E TENNESSEE AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094637",
            "telephone_number": "720-772-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY NOURISHED NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "303-229-9840",
        "authorized_official_credential": "MSN, RDN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.