MADDOX NUTRITION LLC
NPI 1053179721
Dietitian, Registered in Boulder, CO

Q: What is Maddox Nutrition LLC's NPI number?

The NPI number for Maddox Nutrition LLC is 1053179721. It was assigned to this organization in the NPPES registry on March 7, 2024.

Q: What is Maddox Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since March 07, 2024

1942 BROADWAY STE 314C, BOULDER, CO 80302(719) 445-9573 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Maddox Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADDOX NUTRITION LLC (NPI 1053179721) is a healthcare organization registered as a dietitian, registered in Boulder, Colorado and active in the NPI registry since March 2024. The organization lists Liesel Maddox, Registered Dietitian Nutritionist, as its authorized official.

NPPES Registry Identity

NPI1053179721

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameMADDOX NUTRITION LLC

Location Address1942 BROADWAY STE 314CBoulder, CO 80302-5233

Mailing Address1942 Broadway Ste 314cBoulder, CO 80302-5233 · (719) 445-9573

Phone(719) 445-9573

Organization SubpartNo

Authorized OfficialLiesel MaddoxRegistered Dietitian Nutritionist · (719) 445-9573

Enumeration DateMarch 7, 2024

NPPES CertifiedMarch 7, 2024

✔ NPI 1053179721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1942 BROADWAY STE 314C, Boulder, CO 80302

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHRYN WRIGHT

Counselor (Professional)