Individual provider Active NPI

Della McGuire, PA

  • Medical Physician Assistant
  • Windsor, CO
National Provider Identifier
1639352362
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
293 Issued in CO
Practice address
4630 Royal Vista Cir
Ste 7
Windsor, CO 80528-9371
Phone
(970) 530-0575
Fax
(970) 530-0581
NPI assigned
Dec 17, 2007
Last updated
Apr 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 293 CO Primary

Addresses

Primary practice location

4630 Royal Vista Cir
Ste 7
Windsor, CO 80528-9371

Mailing address

4630 Royal Vista Cir
Ste 7
Windsor, CO 80528-9371
Phone (970) 530-0575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
293COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Family Clinic, PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1639352362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 ROYAL VISTA CIR",
            "address_2": "STE 7",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805289371",
            "telephone_number": "970-530-0575",
            "fax_number": "970-530-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 ROYAL VISTA CIR",
            "address_2": "STE 7",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805289371",
            "telephone_number": "970-530-0575",
            "fax_number": "970-530-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "DELLA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

Verify at the official NPI Registry.