Nutrition Game Plan LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITION GAME PLAN LLC

Practice address

2601 S Lemay Ave Ste 7-253
Fort Collins, CO 80525-2247

Phone

(405) 474-4833

NPI assigned

Jan 10, 2022

Organization subpart

No

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

Authorized official

Name

Mary Katherine Brown, RDN, CDCESNPI 1730691569

Title

Member

Phone

(405) 474-4833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Katherine Brown, RD/RDN/LD

  • Registered Dietitian
  • Fort Collins, CO
  • NPI 1730691569
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1992456180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S LEMAY AVE STE 7-253",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252247",
            "telephone_number": "405-474-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S LEMAY AVE STE 7-253",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252247",
            "telephone_number": "405-474-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION GAME PLAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-474-4833",
        "authorized_official_credential": "RDN, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Nowlin
• Gabriel Richard Nugent
• Balqis Khairunnisa Nugroho
• Tracy Lynn Nun, RN
• Nutrition and Cancer Connection, LLC
• Devynn Nicole Nutt, MSW
• Joffrey Nutt
• Cecelia Nutter, RN
• Tracey Nutter
• Eric Mackenzie Nyberg, M.D.

• Registered Dietitian in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.