Healthcare Provider Details

I. General information

NPI: 1477044121
Provider Name (Legal Business Name): ELIZABETH REED MPH, RDN, CNSC, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH PALMER-REED MPH, RDN, CNSC, LD

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 01/02/2023
Certification Date: 01/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 STONY HILL RD
BOULDER CO
80305-6828
US

IV. Provider business mailing address

2105 STONY HILL RD
BOULDER CO
80305-6828
US

V. Phone/Fax

Practice location:
  • Phone: 303-875-7347
  • Fax:
Mailing address:
  • Phone: 303-875-7347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number725740
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number725740
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number725740
License Number State
# 4
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number725740
License Number StateNM
# 5
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number725740
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: