Individual provider Active NPI

Kelsey Martin, CNS, LDN

  • Nutritionist
  • Parker, CO
National Provider Identifier
1821970609
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
18981 Issued in CO
Practice address
10633 Clarke Farms Dr
Parker, CO 80134-9147
Phone
(208) 863-0530
NPI assigned
Jul 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 18981 CO Primary

Addresses

Primary practice location

10633 Clarke Farms Dr
Parker, CO 80134-9147

Mailing address

10633 Clarke Farms Dr
Parker, CO 80134-9147
Phone (208) 863-0530

Other practice location 1

4251 Kipling St Unit 510
Wheat Ridge, CO 80033-2899
Phone (970) 439-2104

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
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
18981COMDNutritionist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1821970609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10633 CLARKE FARMS DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349147",
            "telephone_number": "208-863-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10633 CLARKE FARMS DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349147",
            "telephone_number": "208-863-0530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4251 Kipling St Unit 510",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800332899",
            "country_code": "US",
            "telephone_number": "970-439-2104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELSEY",
        "credential": "CNS, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CO",
            "license": "18981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.