Individual provider Active NPI

Delia G Monroe, ARNP-C

  • Nurse Practitioner
  • Edgewood, KY
National Provider Identifier
1043524895
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3012892 Issued in KY
Practice address
1 Medical Village Drive
Edgewood, KY 41017-3403
Phone
(859) 301-2000
Fax
(859) 426-4140
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP021882 OH
Nurse Practitioner 363L00000X 3012892 KY Primary

Addresses

Primary practice location

1 Medical Village Drive
Edgewood, KY 41017-3403

Mailing address

1750 17TH St Ste G
Sarasota, FL 34234-8666
Phone (941) 732-6837

Other identifiers 2

IdentifierTypeStateIssuer
0065215-00MedicaidFL
P01648883OtherFLRAILROAD MEDICARE PROVIDER NUMBER

Other names 1

  • Delia G Espaillat Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120927000366 FL Practitioner - Nurse Practitioner 4385893825 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP021882OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lightshare Behavioral Wellness and Recovery CurrentSince Feb 9, 2023 Accepting new patients
Recover Together, Inc. Nurse Practitioner CurrentSince Oct 15, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Aug 27, 2021 Accepting new patients
MCR Health, Inc. CurrentSince Aug 27, 2021 Accepting new patients
Riverhills Healthcare, Inc. Nurse Practitioner PastSince Nov 1, 2017 Accepting new patients
Lightshare Behavioral Wellness and Recovery PastSince Jul 4, 2021 Accepting new patients

Locations

10 E Oak St
Arcadia, FL 34266
Phone (863) 494-1324

201 2nd St E
Bradenton, FL 34208
Phone (941) 745-7205

300 Riverside Dr E
Ste 2010
Bradenton, FL 34208
Phone (941) 405-1170

2216 Highway 44 W
Inverness, FL 34453
Phone (352) 341-0009

1357 N Tamiami Trl
Unit B
North Fort Myers, FL 33903

3233 SW 33rd Rd
Ste 202
Ocala, FL 34474
Phone (352) 433-2883

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

4579 Northgate Ct
Sarasota, FL 34234
Phone (941) 552-2465

1750 17th St
Ste J2
Sarasota, FL 34234
Phone (941) 552-2075

1750 17th St
Ste G
Sarasota, FL 34234
Phone (941) 552-2075

4613 N Washington Blvd
Sarasota, FL 34234

166 Center Rd
Venice, FL 34285
Phone (740) 388-8567

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

Organizations & group practices 6

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1043524895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 17TH ST STE G",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342348666",
            "telephone_number": "941-732-6837",
            "fax_number": "941-331-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DRIVE",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "859-301-2000",
            "fax_number": "859-426-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "DELIA",
        "middle_name": "G",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP021882",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065215-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "P01648883",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELIA",
            "last_name": "ESPAILLAT",
            "middle_name": "G",
            "credential": "ARNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.