Active NPI
Dale A Archuleto, CNA
- Nurse's Aide
- Grand Junction, CO
National Provider Identifier
1396800611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 507241
- Practice address
- 515 28 Rd
Grand Junction, CO 81501 - Phone
- (970) 263-4918
- Fax
- (970) 683-7278
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 507241 | CO | Primary |
Addresses
Primary practice location
515 28 Rd
Grand Junction, CO 81501
Mailing address
PO Box 40
Glenwood Springs, CO 81602-0040
Phone (970) 945-2241
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 |
|---|---|---|---|
| 507241 | CO | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396800611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816020040",
"telephone_number": "970-945-2241",
"fax_number": "970-945-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 28 RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81501",
"telephone_number": "970-263-4918",
"fax_number": "970-683-7278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHULETO",
"first_name": "DALE",
"middle_name": "A",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "CO",
"license": "507241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, 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.