Delonde LLC

Primary specialty

ContractorTaxonomy code 171W00000X

License

5153 Issued in CO

Legal business name

DELONDE LLC

Practice address

907 County Road 126
Nederland, CO 80466-2016

Phone

(303) 258-7980

NPI assigned

Jan 23, 2008

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tracy Lynne Miller Brewer, MSPT

Title

Owner/President

Phone

(303) 258-7980

Specialties & licenses 1

Addresses

Other names 1

• Physical Therapy Other name

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1073790887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2016",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804662016",
            "telephone_number": "303-258-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 COUNTY ROAD 126",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804662016",
            "telephone_number": "303-258-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELONDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNNE MILLER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "303-258-7980",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CO",
            "license": "5153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clinica Campesina Family Health Services (Clinica Family Health)
• Clinica Campesina Family Health Services (Clinica Family Health and Wellness)
• Marri Portia Collom, NP-C
• Columbine Family Care PC
• Columbine Family Medicine
• Pennie R. Dexter, PH.D.
• Camilla F Dye, LPC
• Deborah Elvin
• Kyle Denver Epps
• Maurice Jude Romeo Fauvel, D.O.

• Contractor in Nederland, CO
• Providers in Nederland, CO by specialty
• Contractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.