Jennifer Bolton, RDN, IBCLC
NPI 1255101440ActiveIndividual· Dietitian, Registered· Parker, CO
Dietitian, Registered (RDN, IBCLC) with Altitude Sport and Performance Nutrition, LLC, practicing in Parker, Colorado. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1255101440 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN, IBCLC |
| Sole proprietor | Yes |
| NPI issued | Jan 8, 2024 |
| Last updated in NPPES | Jan 8, 2024 |
| Certified by provider | Jan 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 0893849 | CO |
| Lactation Consultant, Non-RN | 174N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (CO) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Altitude Sport and Performance Nutrition, LLCParker, CO · 2 clinicians
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