| Custom Nutrition, Llc | |
|
12760 Stroh Ranch Way Ste 202, Parker, CO 80134-7507 | |
| (720) 531-3151 | |
| (720) 221-0657 |
| Full Name | Custom Nutrition, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 12760 Stroh Ranch Way Ste 202, Parker, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639778509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Christy Jean Beyerly |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033125794 PECOS PAC ID: 6002236387 Enrollment ID: I20201027000993 |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Nutrition, Llc 22416 Quail Run Ln, Parker, CO 80138-8350 Ph: (303) 358-3850 | Custom Nutrition, Llc 12760 Stroh Ranch Way Ste 202, Parker, CO 80134-7507 Ph: (720) 531-3151 |
Dena Dobbs, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9397 Crown Crest Blvd, Suite 440, Parker, CO 80138 Phone: 303-269-4370 | |
Mrs. Christy Jean Beyerly, RD CDE Dietitian Medicare: Medicare Enrolled Practice Location: 9395 Crown Crest Blvd, Parker Adventist Hospital, Parker, CO 80138 Phone: 303-269-4000 Fax: 303-269-4588 | |
Laura Nyquist, Rd, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11479 S Pine Dr Ste 15, Parker, CO 80134 Phone: 740-473-6694 Fax: 877-573-6695 | |
Lisa Louise Poggas, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9395 Crown Crest Blvd, Parker, CO 80138 Phone: 303-269-4580 Fax: 303-268-4588 | |
Sarah C Stoner, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19011 E Hollow Creek Dr, Parker, CO 80134 Phone: 531-772-9862 | |
Joanna Cummings, MS, RD-AP, CNSC CSSD Dietitian Medicare: Medicare Enrolled Practice Location: 10100 S 20 Mile Rd, Parker, CO 80134 Phone: 303-204-6444 | |
Abby Mcqueeney Penamonte, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6740 Longpark Dr, Parker, CO 80138 Phone: 315-521-4354 |