Individual provider Active NPI

Maria-Lourdes Aragon Nichols, RDN

  • Registered Dietitian
  • Fort Collins, CO
National Provider Identifier
1154635662
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1008638 Issued in CO
Practice address
3030 S College Ave Unit 210
Fort Collins, CO 80525-2557
Phone
(253) 722-7367
Fax
(877) 832-8784
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1008638 CO Primary

Addresses

Primary practice location

3030 S College Ave Unit 210
Fort Collins, CO 80525-2557

Mailing address

220 E Mulberry St
Fort Collins, CO 80524-3014
Phone (252) 722-7367

Other practice location 1

220 E Mulberry St
Fort Collins, CO 80524-3014
Phone (253) 722-7367

Other names 1

  • Maria-Lourdes Villaviray Aragon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201003493 CO Practitioner - Registered Dietitian Or Nutrition Professional 1951894781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19 W 24TH St
FL 4
New York, NY 10010-3239

220 E Mulberry St
Fort Collins, CO 80524-3014

3030 S College Ave
Unit 210
Fort Collins, CO 80525-2557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
1008638COMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Kala Nutrition, LLC Dietitian, Registered CurrentSince Aug 27, 2025 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

3030 S College Ave
Unit 210
Fort Collins, CO 80525
Phone (253) 722-7367

220 E Mulberry St
Fort Collins, CO 80524
Phone (253) 722-7367

Organizations & group practices 3

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1154635662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E MULBERRY ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243014",
            "telephone_number": "252-722-7367",
            "fax_number": "877-832-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 S COLLEGE AVE UNIT 210",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252557",
            "telephone_number": "253-722-7367",
            "fax_number": "877-832-8784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 E Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805243014",
            "country_code": "US",
            "telephone_number": "253-722-7367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MARIA-LOURDES",
        "middle_name": "ARAGON",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "1008638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA-LOURDES",
            "last_name": "ARAGON",
            "middle_name": "VILLAVIRAY",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.