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Performance Edge Nutrition LLC

NPI 1447023601ActiveOrganization· Dietitian, Registered· Boulder, CO

Dietitian, Registered in Boulder, Colorado, registered in NPPES in October 2023. The authorized official on file is Colby Wolf, MS, RDN, CSCS, Performance Dietitian.

Overview

NPI1447023601
StatusActive
Entity typeOrganization
NPI issuedOct 31, 2023
Last updated in NPPESFeb 3, 2025
Certified by providerFeb 3, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dietitian, Registered Primary133V00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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