Individual provider Active NPI

Conrado Macapagal Valido Jr., LPN

  • Licensed Practical Nurse
  • Wilmington, DE
National Provider Identifier
1801471073
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LN95244 Issued in MA
Practice address
1812 Newport Gap Pike
Wilmington, DE 19808-6179
Phone
(302) 500-5910
Fax
(302) 500-5872
NPI assigned
Mar 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LN95244 MA Primary

Addresses

Primary practice location

1812 Newport Gap Pike
Wilmington, DE 19808-6179

Mailing address

1812 Newport Gap Pike
Wilmington, DE 19808-6179
Phone (860) 514-8346

Other practice location 1

511 E Columbus Ave
Springfield, MA 01105-2506
Phone (413) 733-3488 ext. 138

Other practice location 2

590 Naamans Rd
Claymont, DE 19703-2308
Phone (302) 388-9146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LN95244MAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Transportation Network LLC Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1801471073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 NEWPORT GAP PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198086179",
            "telephone_number": "860-514-8346",
            "fax_number": "860-924-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 NEWPORT GAP PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198086179",
            "telephone_number": "302-500-5910",
            "fax_number": "302-500-5872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 E Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011052506",
            "country_code": "US",
            "telephone_number": "413-733-3488 x138",
            "fax_number": "413-266-4066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 Naamans Rd",
            "address_purpose": "LOCATION",
            "city": "Claymont",
            "state": "DE",
            "postal_code": "197032308",
            "country_code": "US",
            "telephone_number": "302-388-9146",
            "fax_number": "302-442-6575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALIDO",
        "first_name": "CONRADO",
        "middle_name": "MACAPAGAL",
        "name_suffix": "Jr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-10",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN95244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.