Active NPI
Kaleigh Nicole Rose, RD, CLC
- Registered Dietitian
- Evans, CO
National Provider Identifier
1013895176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86330847
- Practice address
- 2930 11TH Ave
Evans, CO 80620-1011 - Phone
- (970) 395-1113
- NPI assigned
- Aug 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86330847 | CO | Primary |
Addresses
Primary practice location
2930 11TH Ave
Evans, CO 80620-1011
Mailing address
7109 W 27TH St Unit 2102
Greeley, CO 80634-4576
Other practice location 1
7109 W 27th St Unit 2102
Greeley, CO 80634-4576
Phone (720) 425-3253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86330847 | CO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Networks
- TX HMO
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1013895176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7109 W 27TH ST UNIT 2102",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 11TH AVE",
"city": "EVANS",
"state": "CO",
"postal_code": "806201011",
"telephone_number": "970-395-1113"
}
],
"practiceLocations": [
{
"address_1": "7109 W 27th St Unit 2102",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806344576",
"country_code": "US",
"telephone_number": "720-425-3253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "KALEIGH",
"middle_name": "NICOLE",
"credential": "RD, CLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "86330847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evans, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.