Individual provider Active NPI

Valerie Elisabeth Exelby, NP

  • Community Health Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1851592976
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
119062 Issued in CO
Practice address
1525 Blue Spruce Dr
Fort Collins, CO 80524-2004
Phone
(970) 498-6742
Fax
(970) 498-6772
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 119062 CO Primary

Addresses

Primary practice location

1525 Blue Spruce Dr
Fort Collins, CO 80524-2004

Mailing address

5025 Red Bud CT
Fort Collins, CO 80525-5584
Phone (970) 420-1947

Other identifiers 1

IdentifierTypeStateIssuer
93984715MedicaidCO

Other names 1

  • Valerie Elisabeth Exelby-Long Professional name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
119062COMDCommunity Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1851592976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 RED BUD CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255584",
            "telephone_number": "970-420-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 BLUE SPRUCE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242004",
            "telephone_number": "970-498-6742",
            "fax_number": "970-498-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXELBY",
        "first_name": "VALERIE",
        "middle_name": "ELISABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "CO",
            "license": "119062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93984715",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "EXELBY-LONG",
            "middle_name": "ELISABETH",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.