Provider Demographics
NPI:1760278022
Name:MEDICAL NUTRITION THERAPY ASSOCIATES OF COLORADO
Entity type:Organization
Organization Name:MEDICAL NUTRITION THERAPY ASSOCIATES OF COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD-AP, CSSD
Authorized Official - Phone:303-204-6444
Mailing Address - Street 1:22053 DAY STAR DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8356
Mailing Address - Country:US
Mailing Address - Phone:303-204-6444
Mailing Address - Fax:
Practice Address - Street 1:10100 TWENTY MILE RD
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-6453
Practice Address - Country:US
Practice Address - Phone:303-276-1900
Practice Address - Fax:888-892-4064
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALTITUDE SPORT & PERFORMANCE NUTRITION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133VN1101XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, GerontologicalGroup - Multi-Specialty
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, PediatricGroup - Multi-Specialty
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty
No133VN1301XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, OncologyGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty