Essential Nutrition Llc is a
Clinic/center based in Boulder, Colorado. Essential Nutrition Llc is licensed to practice in Colorado (license number 838488) and their current practice location is
4410 Arapahoe Ave, Suite 110, Boulder, Colorado. It can be reached at their office (for appointments etc.) via phone at
(720) 315-0051.
NPI number for Essential Nutrition Llc is 1104043553 and their current mailing address is 823 W. Mulberry St., Louisville, Colorado. Essential Nutrition Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1104043553.
Healthcare Provider's Profile
| Full Name | Essential Nutrition Llc |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center |
|---|
| Location | 4410 Arapahoe Ave, Boulder, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104043553
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 10/10/2025
Medical Identifiers
Medical identifiers for Essential Nutrition Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104043553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | 838488 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Essential Nutrition Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Essential Nutrition Llc 823 W. Mulberry St., Louisville, CO 80027 Ph: (720) 284-1581 | Essential Nutrition Llc 4410 Arapahoe Ave, Suite 110, Boulder, CO 80303-1135 Ph: (720) 315-0051 |
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