Individual provider Active NPI

Agatha Marie Delpozo, RN, LMT

  • Case Management Registered Nurse
  • Denver, CO
National Provider Identifier
1235470576
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
163WCO400X Issued in CO
Practice address
938 Bannock St Ste 100
Denver, CO 80204-4031
Phone
(303) 602-8951
NPI assigned
Mar 12, 2013
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 163WCO400X CO Primary
Reflexologist 173C00000X MT0012709 CO

Addresses

Primary practice location

938 Bannock St Ste 100
Denver, CO 80204-4031

Mailing address

14339 Waterside LN
Broomfield, CO 80023-4526
Phone (561) 350-7446

Other names 1

  • Agatha Baquero Former name

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
163WCO400XCOMDCase Management Registered Nurse
MT0012709COMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1235470576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14339 WATERSIDE LN",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800234526",
            "telephone_number": "561-350-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 BANNOCK ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044031",
            "telephone_number": "303-602-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELPOZO",
        "first_name": "AGATHA",
        "middle_name": "MARIE",
        "credential": "RN, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CO",
            "license": "163WCO400X",
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "CO",
            "license": "MT0012709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGATHA",
            "last_name": "BAQUERO",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.