Healthcare Provider Details

I. General information

NPI: 1477918803
Provider Name (Legal Business Name): SARA PURVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2015
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 16TH ST
DENVER CO
80202-5117
US

IV. Provider business mailing address

2000 16TH ST
DENVER CO
80202-5108
US

V. Phone/Fax

Practice location:
  • Phone: 303-405-2100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number1018836
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1018836
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: