Individual provider Active NPI

Michelle Renee Diiorio, AT-C

  • Other Technician
  • Pueblo, CO
National Provider Identifier
1255890679
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
120402109 Issued in CO
Practice address
1919 W US Highway 50
Pueblo, CO 81008-1618
Phone
(719) 253-7102
Fax
(719) 253-7114
NPI assigned
Mar 15, 2019
Last updated
Mar 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 120402109 CO Primary

Addresses

Primary practice location

1919 W US Highway 50
Pueblo, CO 81008-1618

Mailing address

1919 W US Highway 50
Pueblo, CO 81008-1618
Phone (719) 253-7102

Other identifiers 1

IdentifierTypeStateIssuer
120402109OtherCONATIONAL ATHLETIC TRAINERS' ASSOCIATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdiiorio@puebloboneandjoint.com Direct

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

State licenses

LicenseStateTypeSpecialty
120402109COMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Bone and Joint Clinic LLC CurrentSince Aug 1, 2001 Accepting new patients

Locations

1919 W US Highway 50
Pueblo, CO 81008
Phone (719) 253-7102

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1255890679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 W US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081618",
            "telephone_number": "719-253-7102",
            "fax_number": "719-253-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081618",
            "telephone_number": "719-253-7102",
            "fax_number": "719-253-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIIORIO",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "AT-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CO",
            "license": "120402109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ATHLETIC TRAINERS' ASSOCIATION",
            "identifier": "120402109",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdiiorio@puebloboneandjoint.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1919 W US Highway 50",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810081618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.