MODERN WELLNESS NUTRITION LLC (NPI# 1467064576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467064576 |
| Entity Type | Organization |
| Organization Name | MODERN WELLNESS NUTRITION LLC |
| Practice Address |
7064 Renegade Ridge Dr Colorado Springs CO 80923-4187 |
| Practice Telephone | 9706315475 |
| Mailing Telephone | 9706315475 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | KARA PITOU (REGISTERED DIETITIAN/OWNER) |
| Authorized Official Telephone | 9706315475 |
| Authorized Official Credential | RDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Modern Wellness Nutrition LLC | 7064 Renegade Ridge Drive, Colorado Springs, CO 80923 |
| Street Address |
7064 RENEGADE RIDGE DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80923-4187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993861 | Kara Pitou | Dietitian, Registered | 7064 Renegade Ridge Dr, Colorado Springs, CO 80923 | 2020-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1366933632 | The Traveling Therapist, LLC | Social Worker | 6319 Sundance Kid Dr, Colorado Springs, CO 80923 | 2018-05-22 |
| 1669972246 | Stacy H Furukawa | Behavior Technician | 5719 Hawk Springs Dr, Colorado Springs, CO 80923 | 2018-02-20 |
| 1528573854 | Wal-mart Sores, Inc. | Durable Medical Equipment & Medical Supplies | 7825 Dublin Blvd, Colorado Springs, CO 80923 | 2017-12-08 |
| 1699148544 | Kristin Sekelsky | Nurse Practitioner | 6160 Tutt Blvd Ste 150, Colorado Springs, CO 80923 | 2015-11-01 |
| 1164826640 | Nancy Bakhtiar | Massage Therapist | 6160 Tutt Blve #102, Colorado Springs, CO 80923 | 2014-10-13 |
| 1558664326 | Helen Sobeck | Nurse Practitioner | 6001 E. Woodmen Road, Nicu St. Frances Medical Center, Colorado Springs, CO 80923 | 2010-12-16 |
| 1679891832 | Tristan Poe Lindberg | Pediatrics | 6001 E Woodmen Road, Colorado Springs, CO 80923 | 2010-05-12 |
| 1194058933 | Tiffany Ann Nelson | Physician Assistant | 6001 E. Woodmen Rd., St. Francis Medical Center - Nicu, Colorado Springs, CO 80923 | 2009-09-11 |
| 1831326495 | Viral Kothari | Pediatrics | 6071 E Woodmen Rd Ste 225, Colorado Springs, CO 80923 | 2009-06-22 |
| Find all providers in zip 80923 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738055 | Sara Naouchi | Dietitian, Registered | 3451 Prairie Bluff Cir, Colorado Springs, CO 80908-5242 | 2020-10-22 |
| 1750993861 | Kara Pitou | Dietitian, Registered | 7064 Renegade Ridge Dr, Colorado Springs, CO 80923 | 2020-08-19 |
| 1821609702 | Zeke Williams | Dietitian, Registered | 4308 Driftwood Dr, Colorado Springs, CO 80918-4522 | 2020-08-13 |
| 1023628674 | Synergy Nutrition Counseling | Dietitian, Registered | 2035 Bula Dr, Colorado Springs, CO 80915-1456 | 2020-08-07 |
| 1245855626 | Sylvia R King | Dietitian, Registered | 3141 Centennial Blvd Ste 2141, Colorado Springs, CO 80907-4094 | 2020-06-11 |
| 1467077974 | Krista Loos | Dietitian, Registered | 10 Cragmor Village Rd Unit 415, Colorado Springs, CO 80918-3712 | 2020-06-10 |
| 1477177251 | Steven Menegus | Dietitian, Registered | 5532 Butterfield Dr, Colorado Springs, CO 80923-8720 | 2020-06-08 |
| 1396368247 | Camden Thayer Shedd | Dietitian, Registered | 515 N Tejon St Apt 2, Colorado Springs, CO 80903-1138 | 2020-05-27 |
| 1033730122 | Center for Mind and Body Therapy | Dietitian, Registered | 611 N Weber St Ste 200, Colorado Springs, CO 80903-1072 | 2020-04-30 |
| 1598397671 | Corrie Gladwell | Dietitian, Registered | 1927 N Tejon St, Colorado Springs, CO 80907-6918 | 2020-02-06 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80923 |
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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.