Individual provider Active NPI

Niko Delillye

  • Driver
  • Chesapeake, VA
National Provider Identifier
1467906198
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
1600804 Issued in VA
Practice address
3476 Woodbaugh Dr
Chesapeake, VA 23321-4826
Phone
(757) 320-7496
NPI assigned
Aug 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 1600804 VA Primary

Addresses

Primary practice location

3476 Woodbaugh Dr
Chesapeake, VA 23321-4826

Mailing address

3476 Woodbaugh Dr
Chesapeake, VA 23321-4826
Phone (757) 320-7496

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
1600804VAMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1467906198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3476 WOODBAUGH DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233214826",
            "telephone_number": "757-320-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3476 WOODBAUGH DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233214826",
            "telephone_number": "757-320-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELILLYE",
        "first_name": "NIKO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "1600804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.