Provider Demographics
NPI:1336697218
Name:SPARKS, BRITTANY (RDN, CSR)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:SPARKS
Suffix:
Gender:F
Credentials:RDN, CSR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11740 CHASE CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80020-5960
Mailing Address - Country:US
Mailing Address - Phone:916-300-6904
Mailing Address - Fax:303-568-7947
Practice Address - Street 1:80 GARDEN CTR STE 222
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1735
Practice Address - Country:US
Practice Address - Phone:916-300-6904
Practice Address - Fax:303-568-7947
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO01034193133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal