Individual provider Active NPI

Lisette Telleria, APRN

  • Gerontology Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1770106734
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APN.0999611-NP Issued in CO
Practice address
5820 S Delaware St
Littleton, CO 80120-2345
Phone
(305) 753-3745
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APN.0999611-NP CO Primary
Nurse Practitioner 363L00000X APRN11006824 FL

Addresses

Primary practice location

5820 S Delaware St
Littleton, CO 80120-2345

Mailing address

5820 S Delaware St
Littleton, CO 80120-2345
Phone (305) 753-3745

Other names 1

  • Lisette Corrales Alvarez Former name

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN.0999611-NPCOMDGerontology Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ms_ltelleri@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1770106734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 S DELAWARE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202345",
            "telephone_number": "305-753-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 S DELAWARE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202345",
            "telephone_number": "305-753-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLERIA",
        "first_name": "LISETTE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0999611-NP",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11006824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISETTE",
            "last_name": "CORRALES ALVAREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.