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

Emily Bonham, RDN

Individual provider Registered Dietitian · NPI 1407644206

Emily Bonham, RDN is a Registered Dietitian OR Nutrition Professional in Fort Collins, Colorado. Qualified in 2024, 2 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

2121 E Harmony Rd Bldg 1A
Fort Collins, CO 80528-3400
Phone: (970) 297-6765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1407644206
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedApril 30, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing address1855 Lefthand Creek Ln Apt J307, Longmont, CO 80501-6981

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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