Active NPI
Luz Imelda Barron de Licon
- Home Health Aide
- Wheat Ridge, CO
National Provider Identifier
1346399003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 8995
- Practice address
- 3675 Chase St
Wheat Ridge, CO 80212-7091 - Phone
- (303) 200-9656
- NPI assigned
- Jan 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 8995 | CO | Primary |
Addresses
Primary practice location
3675 Chase St
Wheat Ridge, CO 80212-7091
Mailing address
3675 Chase St
Wheat Ridge, CO 80212-7091
Phone (303) 200-9656
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 |
|---|---|---|---|
| 8995 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346399003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3675 CHASE ST",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "802127091",
"telephone_number": "303-200-9656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 CHASE ST",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "802127091",
"telephone_number": "303-200-9656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRON DE LICON",
"first_name": "LUZ",
"middle_name": "IMELDA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "CO",
"license": "8995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.