Active NPI
Kalyn Marie Garcia, MS, RDN
- Registered Dietitian
- Fort Collins, CO
National Provider Identifier
1831639863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86040691
- Practice address
- 502 W Lake St
Fort Collins, CO 80523-0001 - Phone
- (970) 491-8615
- NPI assigned
- Feb 23, 2017
- Last updated
- Feb 23, 2017
- 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 | 86040691 | CO | Primary |
Addresses
Primary practice location
502 W Lake St
Fort Collins, CO 80523-0001
Mailing address
2617 Killdeer Dr
Fort Collins, CO 80526-2823
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86040691 | CO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado State University | Dietitian, Registered | Past | Accepting new patients |
| Colorado State University | Past | Accepting new patients | |
| Colorado State University | Past | Accepting new patients |
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.
-
dba Kendall Reagan Nutrition Center
- Registered Dietitian
- Fort Collins, CO
- NPI 1477085397
Dietitian, Registered
-
dba Center for Family and Couple Therapy
- Community/Behavioral Health Agency
- Fort Collins, CO
- NPI 1669913554
-
- Community/Behavioral Health Agency
- Fort Collins, CO
- NPI 1851576300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1831639863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2617 KILLDEER DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805262823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 W LAKE ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805230001",
"telephone_number": "970-491-8615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "KALYN",
"middle_name": "MARIE",
"credential": "MS, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-23",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "86040691",
"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 Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.