Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ingredients for Life LLC

Organization Internal Medicine Physician · NPI 1619683000

Ingredients for Life LLC is an Internal Medicine Physician in Boulder, Colorado. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7490 Clubhouse Rd Ste 105
Boulder, CO 80301-3720
Phone: (720) 582-1212
Fax: (720) 405-4268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1619683000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristina Anton-Schnell — Owner · (720) 582-1212
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 24, 2023
Mailing address4745 Jameston St, Boulder, CO 80301-4222

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