Individual provider Active NPI

Keisha Marie Deleon-Paris, NP

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1649660093
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0991648-NP Issued in CO
Practice address
777 Bannock St
Denver, CO 80204-4507
Phone
(303) 436-6000
NPI assigned
Jan 23, 2015
Last updated
Feb 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0991648-NP CO Primary
Registered Nurse 163W00000X 0171753 CO

Addresses

Primary practice location

777 Bannock St
Denver, CO 80204-4507

Mailing address

24 S Evanston Way
Aurora, CO 80012-1533
Phone (720) 982-3887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150304000789 CO Practitioner - Nurse Practitioner 6507182896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2803 Roslyn St
Denver, CO 80238-2624
Phone (303) 403-6540

2807 Roslyn St
Denver, CO 80238-2624
Phone (303) 403-6400

2823 Roslyn St
Denver, CO 80238-2624
Phone (303) 403-6330

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0171753COMDRegistered Nurse
APN.0991648-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 20, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 20, 2023 Accepting new patients
Denver Health and Hospital Authority CurrentSince Feb 23, 2015 Accepting new patients
Denver Health and Hospital Authority CurrentSince Feb 23, 2015 Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

12600 Albrook Dr
Denver, CO 80239
Phone (303) 602-4000

2823 Roslyn St
Denver, CO 80238
Phone (303) 403-6330

777 Bannock St
Denver, CO 80204

Interoperability endpoints

  • Direct secure messaging: kdeleonparis7447@direct.dhha.org

Organizations & group practices 6

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": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1649660093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S EVANSTON WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800121533",
            "telephone_number": "720-982-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-436-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON-PARIS",
        "first_name": "KEISHA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991648-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "0171753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.