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MORANDA LYNN BOLES RD
NPI 1245754910
Dietitian, Registered in Broomfield, CO

Active since August 03, 2017
11820 DESTINATION DR, BROOMFIELD, CO 80021(303) 460-6065 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 3, 2017 (2 updates tracked since 2017).

About Moranda Lynn Boles Rd NPPES

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

MORANDA LYNN BOLES RD (NPI 1245754910) is an individual dietitian, registered in Broomfield, Colorado, licensed in Colorado (1099702) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1245754910
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMORANDA LYNN BOLESCredential: RD
Location Address11820 DESTINATION DRBroomfield, CO 80021-2518
Mailing Address11820 Destination DrBroomfield, CO 80021-2518 · (303) 460-6065
Phone(303) 460-6065
Sole ProprietorYes
Enumeration DateAugust 3, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1245754910 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 CO · 1099702
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.
11820 DESTINATION DR, Broomfield, CO 80021
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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

Other Providers at the Same Location NPPES 19

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

ALLYSON DRAGO LCSW
Social Worker (Clinical)
11820 DESTINATION DR
BROOMFIELD, CO 80021
Jefferson County (720) 718-0925
MISS ELIZABETH TOLVE LCSW
Social Worker (Clinical)
11820 DESTINATION DR
BROOMFIELD, CO 80021
Jefferson County (303) 464-4602
DEBRA JEAN PETERSEN NP
Nurse Practitioner (Adult Health)
11820 DESTINATION DR
BROOMFIELD, CO 80021
Jefferson County (720) 848-0000
ANA JANETTE EHRLICH MLS
Specialist/Technologist, Pathology (Medical Technologist)
11820 DESTINATION DR
BROOMFIELD, CO 80021
Jefferson County (303) 460-6029
DR. MARGARET E REIDY M.D.
Physical Medicine & Rehabilitation
11820 DESTINATION DR
BROOMFIELD, CO 80021
Jefferson County (303) 464-4940
KATHERINE ALEXANDRA HOLCOMB-SHRADER LCSW
Social Worker (Clinical)
11820 DESTINATION DR
BROOMFIELD, CO 80021
Jefferson County (720) 718-0925
MEGHAN ELIZABETH REICHERT PA-C
Physician Assistant (Medical)
11820 DESTINATION DR
BROOMFIELD, CO 80021
Jefferson County (720) 848-0000
DR. NATALIE NICOLE LYNCH PT, DPT, NCS
Physical Therapist (Neurology)
11820 DESTINATION DR
BROOMFIELD, CO 80021
Jefferson County (303) 464-4500

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 Moranda Boles's NPI number?

The NPI number for Moranda Boles is 1245754910. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is Moranda Boles located?

Moranda Boles practices at 11820 Destination Dr, Broomfield, CO 80021. The listed phone number is (303) 460-6065.

What is Moranda Boles's specialty?

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

When was this NPI record last updated?

The NPPES record for Moranda Boles was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.