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KATHLEEN BROUGHTON RD, LD
NPI 1598681801
Dietitian, Registered in Fort Collins, CO

Active since June 29, 2026
702A W DRAKE RD, FORT COLLINS, CO 80526(970) 821-4600 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathleen Broughton Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN BROUGHTON RD, LD (NPI 1598681801) is an individual dietitian, registered in Fort Collins, Colorado, licensed in Ohio (LD.6848) and active in the NPI registry since June 2026. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1598681801
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKATHLEEN BROUGHTONCredential: RD, LD
Location Address702A W DRAKE RDFort Collins, CO 80526-5521
Mailing Address702a W Drake RdFort Collins, CO 80526-5521 · (970) 821-4600
Phone(970) 821-4600
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1598681801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in OH · LD.6848
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
702A W DRAKE RD, Fort Collins, CO 80526
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Broughton Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971067497
PECOS Enrollment IDI20260715001363

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Broughton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner Health Physicians Colorado LLC
Same address
Multi-Specialty
702A W DRAKE RD
Fort Collins, CO 80526
  • Reassigned Medicare billing, Colorado enrollment
  • 324 clinicians in this Medicare group
NPI 1730526096 (970) 229-4600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRK A KINDSFATER MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (970) 810-0255
MR. NATHAN R HAWKINS PA.C
Physician Assistant (Surgical)
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (970) 810-0255
MR. BRAYDEN TAYLOR SMITH RDN
Dietitian, Registered
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (970) 821-4600
DR. KIRSTEN STOREY DO
Internal Medicine
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (970) 229-4600
BANNER HEALTH PHYSICIANS COLORADO LLC
Clinic/Center (Multi-Specialty)
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (970) 229-4600
DR. BENJAMIN JAMES HARRIS KOBER DO
Family Medicine
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (970) 821-4600
NEW BELGIUM BREWING COMPANY, INC.
Clinic/Center (Primary Care)
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (970) 229-4653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Broughton's NPI number?

The NPI number for Kathleen Broughton is 1598681801. It was assigned to this individual provider in the NPPES registry on June 29, 2026.

Where is Kathleen Broughton located?

Kathleen Broughton practices at 702A W Drake Rd, Fort Collins, CO 80526. The listed phone number is (970) 821-4600.

What is Kathleen Broughton's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kathleen Broughton enrolled in Medicare?

Yes. Kathleen Broughton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Broughton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Broughton reassigns Medicare benefits to Banner Health Physicians Colorado LLC (Fort Collins, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Broughton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathleen Broughton was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.