Individual provider Active NPI

Laila Grace Umadhay Delmendo, RN

  • Peritoneal Dialysis Registered Nurse
  • Denver, CO
National Provider Identifier
1477378917
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peritoneal Dialysis Registered NurseTaxonomy code 163WD1100X
License
1653952 Issued in CO
Practice address
2369 S Trenton Way
Denver, CO 80231-7011
Phone
(303) 671-2738
NPI assigned
Nov 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peritoneal Dialysis Registered Nurse 163WD1100X 1653952 CO Primary

Addresses

Primary practice location

2369 S Trenton Way
Denver, CO 80231-7011

Mailing address

6352 Freeport Dr
Highlands Ranch, CO 80130-3332
Phone (720) 453-9442

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1653952COMDPeritoneal Dialysis Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1477378917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6352 FREEPORT DR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801303332",
            "telephone_number": "720-453-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2369 S TRENTON WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802317011",
            "telephone_number": "303-671-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELMENDO",
        "first_name": "LAILA GRACE",
        "middle_name": "UMADHAY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "CO",
            "license": "1653952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.