| Rebecca Russell, | |
|
16045 W 13th Pl, Golden, CO 80401-2916 | |
| (978) 621-3351 | |
| Not Available |
| Full Name | Rebecca Russell |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 16045 W 13th Pl, Golden, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154717486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (NU) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (NU) | Secondary |
| Provider Name | The Social Nutritionist, LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063197705 PECOS PAC ID: 3577091958 Enrollment ID: O20250113002735 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Russell, 16045 W 13th Pl, Golden, CO 80401-2916 Ph: (978) 621-3351 | Rebecca Russell, 16045 W 13th Pl, Golden, CO 80401-2916 Ph: (978) 621-3351 |
Ms. Michelle Tori, CDR Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1707 Cole Blvd, Suite 250, Golden, CO 80401 Phone: 303-763-4900 |
Madeline Riley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1445 Tamarac Dr, Golden, CO 80401 Phone: 303-929-7200 |
Leigh Watkins Shanor, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17610 W 58th Dr, Golden, CO 80403 Phone: 404-695-1302 |
The Social Nutritionist, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 16045 W 13th Pl, Golden, CO 80401 Phone: 978-621-3351 |
Cynthia B. Foster, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 1707 Cole Blvd., Suite #125, Golden, CO 80401 Phone: 303-716-8039 Fax: 303-202-3895 |
Andrea L Stark, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 732 Ridgeside Dr, Golden, CO 80401 Phone: 805-551-9699 |
Maria Gordon, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 21699 Us Highway 40, Golden, CO 80401 Phone: 303-229-4301 |