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LIESEL AMANDA JOY MADDOX RDN
NPI 1225646839
Dietitian, Registered in Boulder, CO

Active since July 20, 2020
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 02, 2026.

Record update history: Mar 7, 2024, Dec 19, 2022, Jul 20, 2020 (3 updates tracked since 2020).

About Liesel Amanda Joy Maddox Rdn NPPES

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

LIESEL AMANDA JOY MADDOX RDN (NPI 1225646839) is an individual dietitian, registered in Boulder, Colorado, licensed in Texas (86151077) and active in the NPI registry since July 2020. She maintains a secondary practice location in Plano.

NPPES Registry Identity

NPI1225646839
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLIESEL AMANDA JOY MADDOXCredential: RDN
Location Address1942 BROADWAY STE 314CBoulder, CO 80302-5233
Mailing Address1942 Broadway Ste 314cBoulder, CO 80302-5233 · (197) 445-9573
Phone(719) 445-9573
Sole ProprietorNo
Enumeration DateJuly 20, 2020
Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
✔ NPI 1225646839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TX · 86151077
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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Secondary Practice Location 1

Location 15830 Granite Pkwy # 100-344Plano, TX 75024-6771 · Phone (469) 991-9865

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.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)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (720) 663-0954
INNER PATH THERAPY PLLC
Social Worker (Clinical)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (720) 213-8717
DONOVAN SCOTT GOLDING LPC
Counselor (Mental Health)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (720) 236-5433
SIMPLE ASSENT, LLC
Behavior Analyst
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (720) 778-0218
MEGAN MACKENZIE LCSW
Social Worker (Clinical)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (720) 338-8599
KYRSTIN CLARE LSW
Social Worker (Clinical)
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (586) 536-2769
MADDOX NUTRITION LLC
Dietitian, Registered
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (719) 445-9573
SARAH ALEXANDRA TYDINGS MS
Nutritionist
1942 BROADWAY STE 314C
BOULDER, CO 80302
Boulder County (985) 789-3055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liesel Maddox's NPI number?

The NPI number for Liesel Maddox is 1225646839. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Liesel Maddox located?

Liesel Maddox practices at 1942 Broadway Ste 314C, Boulder, CO 80302. The listed phone number is (719) 445-9573.

What is Liesel Maddox's specialty?

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

What insurance does Liesel Maddox accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Liesel Maddox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liesel Maddox was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.