Individual provider Active NPI

Nicholas Dean Kellar

  • Student in an Organized Health Care Education/Training Program
  • Louisville, CO
National Provider Identifier
1306588595
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
361 Centennial Pkwy Ste 120
Louisville, CO 80027-1255
Phone
(303) 465-2323
NPI assigned
Apr 8, 2022
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CO Primary

Addresses

Primary practice location

361 Centennial Pkwy Ste 120
Louisville, CO 80027-1255

Mailing address

870 Dexter St Apt 206
Denver, CO 80220-4141

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated CurrentSince Nov 9, 2025 Accepting new patients
University Physicians, Incorporated PastSince Nov 9, 2025 Accepting new patients
Autism Matters, Inc. PastSince Apr 10, 2022 Accepting new patients

Locations

361 Centennial Pkwy
Ste 120
Louisville, CO 80027
Phone (303) 465-2323

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, 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": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1306588595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 DEXTER ST APT 206",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 CENTENNIAL PKWY STE 120",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271255",
            "telephone_number": "303-465-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAR",
        "first_name": "NICHOLAS",
        "middle_name": "DEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-08",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.