Food Is Medicine Rd LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

859029 Issued in CO

Legal business name

FOOD IS MEDICINE RD LLC

Practice address

667 S 22ND Ave
Brighton, CO 80601-3459

Phone

(860) 280-6297

Fax

(172) 024-7923

NPI assigned

May 9, 2016

Organization subpart

No

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

Authorized official

Name

Laurie M Hatch, MS RD

Title

Business Owner

Phone

(860) 280-6297

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1992151930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 S 22ND AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013459",
            "telephone_number": "860-280-6297",
            "fax_number": "172-024-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 S 22ND AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013459",
            "telephone_number": "860-280-6297",
            "fax_number": "172-024-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOD IS MEDICINE RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "860-280-6297",
        "authorized_official_credential": "MS RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "859029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACADEMY OF NUTRITION AND DIETETICS",
            "identifier": "859029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody Flint
• Mark S Flora, MD
• Andrea Flores, NP
• Noemi Flores
• John Fontenot, MD
• Jonathan William Force, M.D.
• Taylor Ashley Foster
• Charalampos Fotiou
• Rebecca Fountain, D.D.S.
• Kellie G. Fox, M.S. CF-SLP

• Registered Dietitian in Brighton, CO
• Providers in Brighton, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.