Healthcare Provider Details

I. General information

NPI: 1548070592
Provider Name (Legal Business Name): SKIMFOOD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4419 VALLEYBROOK DR
HIGHLANDS RANCH CO
80130-6964
US

IV. Provider business mailing address

4419 VALLEYBROOK DR
HIGHLANDS RANCH CO
80130-6964
US

V. Phone/Fax

Practice location:
  • Phone: 980-458-4854
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: SARAH KIM
Title or Position: CEO
Credential: MS, RDN, LDN
Phone: 980-458-4854