Healthcare Provider Details

I. General information

NPI: 1306235536
Provider Name (Legal Business Name): JANELLE HUNT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2015
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 S JACKSON ST STE 521
DENVER CO
80210-3851
US

IV. Provider business mailing address

1776 S JACKSON ST STE 521
DENVER CO
80210-3851
US

V. Phone/Fax

Practice location:
  • Phone: 720-432-3612
  • Fax:
Mailing address:
  • Phone: 720-432-3612
  • Fax: 866-719-0945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number896624
License Number StateCO

VIII. Authorized Official

Name: JANELLE HUNT
Title or Position: DIETITIAN
Credential: MS, RD
Phone: 970-227-5769