Organization Active NPI

Nvelup Idaho Corp

Doing business as NVelup Utah

  • Psychiatric/Mental Health Registered Nurse
  • Meridian, ID
National Provider Identifier
1235908369
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
NVELUP IDAHO CORP
Doing business as
NVelup Utah
Practice address
3597 E Monarch Sky LN Ste 240-8464
Meridian, ID 83646-1053
Phone
(206) 207-2950
NPI assigned
Dec 29, 2023
Last updated
Dec 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Mr. Troy Di Lello
Title
President
Phone
(206) 207-2950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X NU Primary

Addresses

Primary practice location

3597 E Monarch Sky LN Ste 240-8464
Meridian, ID 83646-1053

Mailing address

PO Box 7221
Petaluma, CA 94955-7221
Phone (415) 324-9906

Other names 1

  • NVelup Utah Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nvelup Idaho Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1235908369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7221",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949557221",
            "telephone_number": "415-324-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3597 E MONARCH SKY LN STE 240-8464",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461053",
            "telephone_number": "206-207-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NVELUP IDAHO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "DI LELLO",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-207-2950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NVelup Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.