Active NPI
Louis Anthony Dellefave, RNFA
- Registered Nurse First Assistant
- Taylor, TX
National Provider Identifier
1639267602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 504849
- Practice address
- 120 W 11TH St
Taylor, TX 76574-2937 - Phone
- (512) 973-9222
- NPI assigned
- Oct 11, 2006
- 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 First Assistant | 163WR0006X | 504849 | TX | Primary |
Addresses
Primary practice location
120 W 11TH St
Taylor, TX 76574-2937
Mailing address
120 W 11TH St
Taylor, TX 76574-2937
Phone (512) 973-9222
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 |
|---|---|---|---|
| 504849 | TX | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1639267602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W 11TH ST",
"city": "TAYLOR",
"state": "TX",
"postal_code": "765742937",
"telephone_number": "512-973-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W 11TH ST",
"city": "TAYLOR",
"state": "TX",
"postal_code": "765742937",
"telephone_number": "512-973-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLEFAVE",
"first_name": "LOUIS",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "RNFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "TX",
"license": "504849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.