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Deactivated NPI 1407515802 Deactivated / Inactive NPI Female Practitioner

Anne Luongo , RDN, LDN

Dietitian, Registered • Boulder, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Anne Luongo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 13, 2021
NPI Deactivation Date December 27, 2021
Total Practice Duration ~1 Years of Practice (2021 – 2021)

Professional Overview & Biography Verified Profile Summary

Anne Luongo, RDN, LDN was a registered Dietitian, Registered practicing in Boulder, CO. Throughout an active medical career spanning 1 years, Anne Luongo provided care at the practice location at 1942 BROADWAY STE 314C until profile deactivation on 2021-12-27.

Practice Location & Contact Primary Location

Practice Address

1942 Broadway Ste 314c

Boulder, CO 803025233

Telephone 7196701448
Associated Practice Facility / Clinic
🏢 A Light In Dark Places Llc Facility NPI 1467003301

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
63 Specialists

Practicing in Boulder, CO (1406 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-03
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License IN 37003346A

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Donovan Golding , LPC

Counselor - Mental Health

NPI 1033762737

Licensed Professional Counselor

Megan Mackenzie , LCSW

Social Worker - Clinical

NPI 1043825672

Licensed Clinical Social Worker

Kyrstin Clare , LSW

Social Worker - Clinical

NPI 1053129270

Licensed Social Worker

NPI 1063234748

Master of Science

NPI 1124411798
Sarah Holt , MA, LPC, NCC

Counselor - Professional

NPI 1154728236

Master of Arts, Licensed Professional Counselor, National Certified Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 03, 2025

Registered at 1942 BROADWAY STE 314C, BOULDER, CO 803025233 (Tel: 7196701448)

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Updated Business Mailing Address February 03, 2025

Registered at 1101 E BAYAUD AVE APT E1607, DENVER, CO 802092497 (Tel: 9083582673)

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Updated Practice Location March 15, 2024

Registered at 1101 E BAYAUD AVE, DENVER, CO 802092458 (Tel: 9083582673)

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Updated Practice Location March 27, 2023

Registered at 1121 WESTFIELD CT W APT I, INDIANAPOLIS, IN 462201164 (Tel: 9083582673)

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Updated Business Mailing Address March 27, 2023

Registered at 1121 WESTFIELD CT W APT I, INDIANAPOLIS, IN 462201164 (Tel: 9083582673)

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Provider Name / Credentials Updated March 27, 2023

Recorded as ANNE LUONGO, RDN, LDN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2023

Dietitian, Registered (License #37003346A in IN)

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NPI Profile Deactivated December 27, 2021

Record deactivated on December 27, 2021

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Initial NPI Registration & Enumeration December 13, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407515802
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2021
Last Update: February 03, 2025
Deactivation Date: December 27, 2021
Sole Proprietor: No

Mailing Address

1101 E Bayaud Ave Apt E1607

Denver, CO 802092497

Phone: 9083582673

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.