Active NPI
Renal Nurse Associates, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Denver, CO
National Provider Identifier
1770513400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 0997
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60652021 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI 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.