Organization Active NPI

Renal Nurse Associates, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Denver, CO
National Provider Identifier
1770513400
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
0997 Issued in CO
Legal business name
RENAL NURSE ASSOCIATES, LLC
Practice address
1440 Vine St
Denver, CO 80206-2016
Phone
(303) 355-5644
Fax
(303) 355-5059
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sharon Lynn Antonelli, RN, CNN, CEO
Title
President / Ceo
Phone
(303) 355-5644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 0997 CO Primary

Addresses

Primary practice location

1440 Vine St
Denver, CO 80206-2016

Mailing address

8340 Everett Way
Arvada, CO 80005-2211
Phone (303) 355-5644

Other identifiers 1

IdentifierTypeStateIssuer
60652021MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770513400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 EVERETT WAY",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800052211",
            "telephone_number": "303-355-5644",
            "fax_number": "303-355-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 VINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802062016",
            "telephone_number": "303-355-5644",
            "fax_number": "303-355-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL NURSE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTONELLI",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "303-355-5644",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, CNN, CEO"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CO",
            "license": "0997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60652021",
            "state": "CO"
        }
    ],
    "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 Aug 22, 2020; 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.