IndividualActive
Jill Bayouth
NPI 1992180939 · Registered Dietetic Technician · Longmont, CO
Provider details
- NPI number
- 1992180939
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1072108 (CO)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
1925 Mountain View Ave
Longmont, CO 80501-3128
Phone: (303) 776-1234
Fax: (720) 494-3107
Approximate (ZIP-level) locationGet directions
Mailing address
1925 Mountain View Ave
Longmont, CO 80501-3128
Registry dates
- Enumerated
- 2015-07-20
- Last updated
- 2015-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.