Active NPI
Dana Walenta, NP
- Family Nurse Practitioner
- Avon, CO
National Provider Identifier
1083167563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0992430-NP
- Practice address
- 50 Buck Creek Road
Suite 200
Avon, CO 81620 - Phone
- (970) 926-6340
- Fax
- (970) 926-6348
- NPI assigned
- Aug 1, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.0178674 | CO | |
| Family Nurse Practitioner | 363LF0000X | APN.0992430-NP | CO | Primary |
Addresses
Primary practice location
50 Buck Creek Road
Suite 200
Avon, CO 81620
Mailing address
PO Box 4330
Avon, CO 81620-4330
Phone (970) 926-6340
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0178674 | CO | MD | Registered Nurse |
| APN.0992430-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VVMC Diversified Services | Current | Accepting new patients |
Locations
181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225
180 S Frontage Rd W
Ste 5800
Vail, CO 81657
181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036
Organizations & group practices 1
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": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1083167563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4330",
"city": "AVON",
"state": "CO",
"postal_code": "816204330",
"telephone_number": "970-926-6340",
"fax_number": "970-926-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BUCK CREEK ROAD",
"address_2": "SUITE 200",
"city": "AVON",
"state": "CO",
"postal_code": "81620",
"telephone_number": "970-926-6340",
"fax_number": "970-926-6348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALENTA",
"first_name": "DANA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.0178674",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0992430-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.