HEALTHFUL LIVING LLC (NPI# 1053464453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053464453 |
| Entity Type | Organization |
| Organization Name | HEALTHFUL LIVING LLC |
| Other Organization Name | PEAK NUTRITION WORKS LLC |
| Practice Address |
1309 Sunset St Longmont CO 80501-3215 |
| Mailing Address |
303 Glenview Ct Longmont CO 80504-1314 |
| Practice Telephone | 7206844147 |
| Practice Fax Number | 3036516781 |
| Mailing Telephone | 7208375240 |
| Mailing Fax Number | 3037728207 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | KELLY K. LEONARD (CLINICAL DIETITIAN) |
| Authorized Official Telephone | 7208375240 |
| Authorized Official Credential | MS, RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 949745 | CO | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Peak Nutrition Works LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Healthful Living LLC | 303 Glenview Ct., Longmont, CO 80504 |
| Street Address |
1309 SUNSET ST |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454694 | Susan I Roach | Family Medicine | 1309 Sunset St, Longmont, CO 80501-3215 | 2005-06-01 |
| 1154717676 | James Timothy Keeling | Family Medicine | 1309 Sunset St, Longmont, CO 80501 | 2015-04-10 |
| 1487068151 | Allison Fostveit | Nurse Practitioner | 1309 Sunset St, Longmont, CO 80501-3215 | 2014-06-20 |
| 1104141670 | Eric Traister | Family Medicine | 1309 Sunset St, Longmont, CO 80501-3215 | 2010-03-29 |
| 1417116146 | Rebecca Ann Myers | Family Medicine | 1309 Sunset St, Longmont, CO 80501 | 2008-06-06 |
| 1477565380 | Longs Peak Family Practice, PC | Family Medicine | 1309 Sunset St, Longmont, CO 80501-3215 | 2006-08-12 |
| 1487603338 | Virginia Hrywnak | Family Medicine | 1309 Sunset St, Longmont, CO 80501-3215 | 2006-05-09 |
| 1992707129 | Mark Laitos | Family Medicine | 1309 Sunset St, Longmont, CO 80501-3215 | 2005-06-01 |
| 1144222373 | Mary E Faini | Family Medicine | 1309 Sunset St, Longmont, CO 80501-3215 | 2005-06-01 |
| 1689676819 | Christopher C Madden | Family Medicine | 1309 Sunset St, Longmont, CO 80501-3215 | 2005-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| 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 |
|---|---|---|---|---|
| 1841824075 | Ryanne Hill | Dietitian, Registered | 2090 Blue Mountain Rd, Longmont, CO 80504-6205 | 2020-02-26 |
| 1841642428 | Laura Hickey | Dietitian, Registered | 4035 Milano Ln, Longmont, CO 80503-8986 | 2016-07-07 |
| 1275966038 | Laura Palazzolo Kraus | Dietitian, Registered | 1254 Gay St, Longmont, CO 80501-3814 | 2013-08-15 |
| 1053600957 | Lisa Stewart Mink | Dietitian, Registered | 1925 W. Mountain View Ave, Longmont, CO 80501 | 2011-03-31 |
| 1902917529 | Kelly Kay Leonard | Dietitian, Registered | 303 Glenview Ct, Longmont, CO 80501-5214 | 2006-08-31 |
| 1891285680 | Maranda Stone | Dietitian, Registered | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2018-05-16 |
| 1720523715 | Teddy Ann Thomas | Dietitian, Registered | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2016-12-29 |
| 1992250484 | Thrive At Home Nutrition, LLC | Dietitian, Registered | 4035 Milano Ln, Longmont, CO 80503-8986 | 2016-08-24 |
| 1619369238 | Melissa Karch | Dietitian, Registered | 825 Delaware Ave, Suite #303c, Longmont, CO 80501-6169 | 2015-02-19 |
| 1609111640 | Kimberly R Jordan | Dietitian, Registered | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2012-12-03 |
| Find all providers in LONGMONT | ||||
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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.