Healthcare Provider Details

I. General information

NPI: 1891564894
Provider Name (Legal Business Name): TARIRO SAVOY RDN CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2024
Last Update Date: 01/01/2024
Certification Date: 01/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5516 MOUNTAIN GARLAND DR
COLORADO SPRINGS CO
80923-8819
US

IV. Provider business mailing address

5516 MOUNTAIN GARLAND DR
COLORADO SPRINGS CO
80923-8819
US

V. Phone/Fax

Practice location:
  • Phone: 443-912-4723
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86074842
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: