Individual provider Active NPI

Jill Diane Del Rio, BSN, RN, CNOR, RNFA

  • Registered Nurse First Assistant
  • Laramie, WY
National Provider Identifier
1194316752
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
31965 Issued in WY
Practice address
2710 Harney St Ste 100
Laramie, WY 82072-0001
Phone
(307) 745-8991
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 31965 WY Primary

Addresses

Primary practice location

2710 Harney St Ste 100
Laramie, WY 82072-0001

Mailing address

1402 Ord St
Laramie, WY 82070-4762
Phone (307) 343-2800

Other practice location 1

1402 Ord St
Laramie, WY 82070-4762
Phone (307) 343-2800

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
31965WYMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1194316752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 ORD ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704762",
            "telephone_number": "307-343-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 HARNEY ST STE 100",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820720001",
            "telephone_number": "307-745-8991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 Ord St",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820704762",
            "country_code": "US",
            "telephone_number": "307-343-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL RIO",
        "first_name": "JILL",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN, CNOR, RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WY",
            "license": "31965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.