Active NPI
Marta Kendall House
- Student in an Organized Health Care Education/Training Program
- Fort Collins, CO
National Provider Identifier
1295640027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 101Y00000X
- Practice address
- 1018 Centre Ave
Fort Collins, CO 80526-1849 - Phone
- (970) 893-7600
- NPI assigned
- Aug 17, 2026
- Last updated
- Aug 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 101Y00000X | CO | Primary |
Addresses
Primary practice location
1018 Centre Ave
Fort Collins, CO 80526-1849
Mailing address
3013 Stadium CT
Fort Collins, CO 80521-4016
Phone (970) 640-3454
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 |
|---|---|---|---|
| 101Y00000X | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Limited | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1295640027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 STADIUM CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805214016",
"telephone_number": "970-640-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 CENTRE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805261849",
"telephone_number": "970-893-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSE",
"first_name": "MARTA",
"middle_name": "KENDALL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "101Y00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.