Active NPI
Kelly Brown, M.S., R.D.
- Registered Dietitian
- Wheat Ridge, CO
National Provider Identifier
1437800760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86021227
- Practice address
- 3455 Lutheran Pkwy
Wheat Ridge, CO 80033-6028 - Phone
- (303) 403-3039
- NPI assigned
- Jan 18, 2022
- 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 | 86021227 | Primary |
Addresses
Primary practice location
3455 Lutheran Pkwy
Wheat Ridge, CO 80033-6028
Mailing address
3041 Castle Peak Ave
Superior, CO 80027-6071
Phone (317) 220-9809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86021227 | Other | RD LICENSURE |
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1642464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1437800760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3041 CASTLE PEAK AVE",
"city": "SUPERIOR",
"state": "CO",
"postal_code": "800276071",
"telephone_number": "317-220-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 LUTHERAN PKWY",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336028",
"telephone_number": "303-403-3039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KELLY",
"credential": "M.S., R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-18",
"last_updated": "2022-01-18",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86021227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RD LICENSURE",
"identifier": "86021227",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.