ESSENTIAL NUTRITION, INC (NPI# 1104043553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104043553 |
| Entity Type | Organization |
| Organization Name | ESSENTIAL NUTRITION, INC |
| Practice Address |
4730 Walnut St Suite 212 Boulder CO 80301-2558 |
| Practice Telephone | 3037254343 |
| Practice Fax Number | 3035460047 |
| Mailing Telephone | 3037254343 |
| Mailing Fax Number | 3035460047 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LISA MARIE HIGH (PRESIDENT) |
| Authorized Official Telephone | 3037254343 |
| Authorized Official Credential | M.S., R.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 838488 | CO | Ambulatory Health Care Facilities |
| Street Address |
4730 WALNUT ST SUITE 212 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205953114 | Rebecca Maret | Acupuncturist | 4730 Walnut St, Suite 108, Boulder, CO 80301-2558 | 2007-03-23 |
| 1003173147 | Arbor Springs of Colorado | In Home Supportive Care | 4730 Walnut St, Suite 212, Boulder, CO 80301-2558 | 2012-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233882 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 | 2020-10-23 |
| 1982162285 | Spot On Drug Testing | Clinic/Center | 2000 21st St Unit B, Boulder, CO 80302-4501 | 2019-03-05 |
| 1205121936 | Find Your Balance Acupuncture | Clinic/Center | 2760 29th St Unit 1c, Boulder, CO 80301 | 2011-06-10 |
| 1285962308 | Pain Free Today, P.C. | Clinic/Center | 3014 Bluff St Ste 201, Boulder, CO 80301-2165 | 2009-12-01 |
| 1609822030 | Boulder Community Health | Clinic/Center | 5450 Western Ave Ste B, Boulder, CO 80301-2709 | 2006-05-26 |
| 1619577681 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2020-10-29 |
| 1306493879 | Boulder Community Health | Clinic/Center | 4801 Riverbend Rd Ste 120b, Boulder, CO 80301-2613 | 2019-08-20 |
| 1093289472 | Meridian Wellness, LLC | Clinic/Center | 842 W Hwy 12, Boulder, UT 84716 | 2019-01-18 |
| 1447603469 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2016-07-14 |
| 1013389840 | Pearl Podiatry Health Center, LLC | Clinic/Center | 2575 Pearl St, Suite #240, Boulder, CO 80302-3868 | 2015-10-20 |
| Find all providers in BOULDER | ||||
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| 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.