Provider Demographics
NPI:1568609543
Name:BEBLAVI, BRITTA (RDN, LD, CD)
Entity Type:Individual
Prefix:
First Name:BRITTA
Middle Name:
Last Name:BEBLAVI
Suffix:
Gender:F
Credentials:RDN, LD, CD
Other - Prefix:
Other - First Name:BRITTA
Other - Middle Name:
Other - Last Name:LEVERKUHN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:5950 S WILLOW DR STE 201
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5144
Mailing Address - Country:US
Mailing Address - Phone:720-773-1353
Mailing Address - Fax:
Practice Address - Street 1:5950 S WILLOW DR STE 201
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-5144
Practice Address - Country:US
Practice Address - Phone:720-773-1353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-13
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT87543133V00000X
WADI60055849133V00000X
WY410133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered