Individual provider Active NPI

Peata Setu-Malala, RN, NCM

  • Case Management Registered Nurse
  • Colorado Springs, CO
National Provider Identifier
1053991133
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
1102082 Issued in KY
Practice address
1665 Cochrane Cir BLDG 7494
Colorado Springs, CO 80913-4603
Phone
(719) 524-2629
NPI assigned
Apr 12, 2021
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 1102082 KY Primary

Addresses

Primary practice location

1665 Cochrane Cir BLDG 7494
Colorado Springs, CO 80913-4603

Mailing address

1665 Cochrane Cir BLDG 7664
Colorado Springs, CO 80913-4603
Phone (502) 262-3196

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peata.setumalala.mil@mail.mil Direct

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1102082KYMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1053991133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 COCHRANE CIR BLDG 7664",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809134603",
            "telephone_number": "502-262-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 COCHRANE CIR BLDG 7494",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809134603",
            "telephone_number": "719-524-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETU-MALALA",
        "first_name": "PEATA",
        "credential": "RN, NCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "KY",
            "license": "1102082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peata.setumalala.mil@mail.mil",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1665 Cochrane Cir",
            "city": "Fort Carson",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809134603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.