What is Maddox Nutrition LLC's NPI number?

Maddox Nutrition LLC's National Provider Identifier (NPI) is 1053179721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Maddox Nutrition LLC?

Maddox Nutrition LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Maddox Nutrition LLC located?

Maddox Nutrition LLC's practice location on file with NPPES is 1942 Broadway Ste 314c, Boulder, CO 80302-5233.

What is Maddox Nutrition LLC's phone number?

The practice phone number listed in the NPPES registry for Maddox Nutrition LLC is (719) 445-9573.

Who is the authorized official for Maddox Nutrition LLC?

The authorized official listed on Maddox Nutrition LLC's NPPES record is Liesel Maddox, Registered Dietitian Nutritionist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Maddox Nutrition LLC's NPI active?

Yes — Maddox Nutrition LLC's NPI (1053179721) is active in the NPPES registry as of the last update on 2024-03-07.

OrganizationActive

Maddox Nutrition LLC

NPI 1053179721 · Registered Dietitian · Boulder, CO

Maddox Nutrition LLC is a Registered Dietitian organization in Boulder, CO (NPI 1053179721).

Provider details

NPI number: 1053179721
Entity type: Organization
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Organization subpart: No
Authorized official: Liesel Maddox, Registered Dietitian Nutritionist(719) 445-9573

Practice location

1942 Broadway Ste 314c

Boulder, CO 80302-5233

Phone: (719) 445-9573

Street-level locationGet directions

More CO providers

Mailing address

1942 Broadway Ste 314c

Boulder, CO 80302-5233

Specialties & taxonomies

Registered DietitianPrimary133V00000X
Dietary & Nutritional Service Providers

Profile Score

Established profile(57/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2024-03-07
Last updated: 2024-03-07
Certified: 2024-03-07

Frequently asked questions

What is Maddox Nutrition LLC's NPI number?: Maddox Nutrition LLC's National Provider Identifier (NPI) is 1053179721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Maddox Nutrition LLC?: Maddox Nutrition LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
Where is Maddox Nutrition LLC located?: Maddox Nutrition LLC's practice location on file with NPPES is 1942 Broadway Ste 314c, Boulder, CO 80302-5233.
What is Maddox Nutrition LLC's phone number?: The practice phone number listed in the NPPES registry for Maddox Nutrition LLC is (719) 445-9573.
Who is the authorized official for Maddox Nutrition LLC?: The authorized official listed on Maddox Nutrition LLC's NPPES record is Liesel Maddox, Registered Dietitian Nutritionist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Maddox Nutrition LLC's NPI active?: Yes — Maddox Nutrition LLC's NPI (1053179721) is active in the NPPES registry as of the last update on 2024-03-07.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions