Active NPI
Kala Nutrition, LLC
- Registered Dietitian
- Fort Collins, CO
National Provider Identifier
1609644079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- KALA NUTRITION, LLC
- Practice address
- 3030 S College Ave Unit 210
Fort Collins, CO 80525-2557 - Phone
- (253) 722-7367
- Fax
- (877) 832-8784
- NPI assigned
- Dec 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria-Lourdes Aragon Nichols, RDN
- Title
- Registered Dietitian Nutritionist
- Phone
- (253) 722-7367
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 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 (253) 722-7367
Other practice location 1
220 E Mulberry St
Fort Collins, CO 80524-3014
Phone (253) 722-7367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Fort Collins, CO
- NPI 1154635662
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760054400000",
"number": "1609644079",
"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": "253-722-7367"
},
{
"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": {
"organization_name": "KALA NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-15",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "MARIA-LOURDES",
"authorized_official_middle_name": "ARAGON",
"authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
"authorized_official_telephone_number": "253-722-7367",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"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 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.