KATHLEEN PERALTA (NPI# 1043483993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043483993 |
| Entity Type | Individual |
| Full Name | KATHLEEN PERALTA |
| Other Name | KATHLEEN M DECKER |
| Practice Address |
4547 W 37th Ave Unit 1 Denver CO 80212-2387 |
| Practice Telephone | 3034332000 |
| Mailing Telephone | 3034332000 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
13069 | CO | Dietary & Nutritional Service Providers |
| Street Address |
4547 W 37TH AVE UNIT 1 |
| City | DENVER |
| State | CO |
| Zip Code | 80212-2387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407382 | Mary Emma Fawcett | Counselor | Tennyson Center for Children, 2950 Tennyson St, Denver, CO 80212 | 2020-08-10 |
| 1205391422 | Carly Boeselt | Counselor | 5226 Tennyson St, Denver, CO 80212 | 2019-02-01 |
| 1639656176 | Amanda Jane Miller | Massage Therapist | 4433 West 29th Avenue, Suite 203, Denver, CO 80212 | 2018-07-27 |
| 1821587908 | Jolene Lyn Nawrocki | Nurse Practitioner | 5790 W 39th Place, Wheat Ridge, CO 80212 | 2018-05-04 |
| 1679078810 | Rachel Holder | Social Worker | 2905 Tennyson Street, Denver, CO 80212 | 2018-03-29 |
| 1497260723 | Timothy Mullins | Marriage & Family Therapist | 5100 Osceola St, Denver, CA 80212 | 2017-12-08 |
| 1619402757 | Alexis Lowe | Marriage & Family Therapist | 2700 Perry St, Denver, CO 80212 | 2017-04-26 |
| 1578962858 | Brandon Visscher | Dentist | 4277 Tennyson St Ste 102, Denver, CO 80212 | 2014-08-22 |
| 1558778712 | Kerri Mckee | Physician Assistant | 4500 W. 38th Ave, Suite 220, Denver, CO 80212 | 2014-07-18 |
| 1366889859 | John Fricas Sander | Counselor | 4150 Quitman Street, Denver, CO 80212 | 2013-05-24 |
| Find all providers in zip 80212 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215243076 | Patricia Ann Fleming | Dietitian, Registered | 3001 Van Eden Rd, Idaho Springs, CO 80452-9561 | 2010-08-30 |
| 1245393453 | Diana C. Bright | Dietitian, Registered | 12910 W 24th Pl, Golden, CO 80401-2221 | 2006-12-18 |
| 1659840155 | Annegret A Kessler | Dietitian, Registered | 322 Beard Creek Rd, Edwards, CO 81632-6426 | 2018-11-14 |
| 1750729042 | Jenny M Nuuttila | Dietitian, Registered | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2013-06-07 |
| 1487950853 | Marcey Robinson | Dietitian, Registered | 100 Elk Run Dr, Suite 101, Basalt, CO 81621-9205 | 2011-02-02 |
| 1043458094 | Lauren Elizabeth Bernstein | Dietitian, Registered | 6767 S Spruce St, Centennial, CO 80112-1283 | 2009-01-29 |
Please comment or provide details below to improve the information on KATHLEEN PERALTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.