Active NPI
Noel Dela Rosa Lara, NURSE
- Registered Nurse
- Denver, CO
National Provider Identifier
1316482268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041 300897
- Practice address
- 2000 16TH St
Denver, CO 80202-5117 - Phone
- (303) 405-2100
- NPI assigned
- Jan 2, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041 300897 | IL | Primary |
Addresses
Primary practice location
2000 16TH St
Denver, CO 80202-5117
Mailing address
430 E Nerge Rd
Roselle, IL 60172-4917
Phone (224) 402-1330
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041 300897 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483315200000",
"number": "1316482268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 E NERGE RD",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601724917",
"telephone_number": "224-402-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 16TH ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802025117",
"telephone_number": "303-405-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "NOEL",
"middle_name": "DELA ROSA",
"credential": "NURSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-02",
"last_updated": "2017-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041 300897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
- Ana Maria Lara-Roca, M.A., LPC
- Amanda S Lara
- Keila J Lara
- Kimberly A Lara, RN
- Maria Teresa Lara, R.D.H.
- Veronica Jeanette Lara, BCBA, LBA
- Robin Marcus Larabee, M.D.
- Christiane Laracuente
- Laradon Hall Society for Exceptional Children and Adults
- Laradon Hall Society for Exceptional Children and Adults
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.