Individual provider Active NPI

Kelly Riely Visconti, CRNP

  • Family Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1881118685
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1699032 Issued in CO
Practice address
7720 S Broadway Ste 310
Littleton, CO 80122-2624
Phone
(303) 584-5844
NPI assigned
Aug 2, 2017
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN1061175 DC
Family Nurse Practitioner 363LF0000X 0024175328 VA
Family Nurse Practitioner 363LF0000X 1699032 CO Primary

Addresses

Primary practice location

7720 S Broadway Ste 310
Littleton, CO 80122-2624

Mailing address

7720 S Broadway Ste 310
Littleton, CO 80122-2624
Phone (303) 584-5844

Other practice location 1

111 Michigan Ave NW
Washington, DC 20010-2916
Phone (202) 476-5009

Other practice location 2

8101 Hinson Farm Rd Ste 308
Alexandria, VA 22306
Phone (703) 738-4378

Other practice location 3

6862 Elm St Ste 600
Mc Lean, VA 22101-3862
Phone (703) 745-5100

Other names 1

  • Kelly Riely Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kellyriely@nspc.medalliesdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CO2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171018000039 DC Practitioner - Nurse Practitioner 0345516472 Reassigns benefits to 1 organization
I20241106001309 CO Practitioner - Nurse Practitioner 0345516472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reflect Health LLCGroup PAC ID 0547643983, 3 clinicians

Practice addresses (Care Compare)

7720 S Broadway
Suite 310
Littleton, CO 80122-2624
Phone (303) 584-5844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1061175DCMDNurse Practitioner
1699032COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital CurrentSince Dec 4, 2020 Accepting new patients
Children's Hospital CurrentSince Dec 4, 2020 Accepting new patients
Reflect Health LLC CurrentSince Nov 1, 2024 Accepting new patients
Children's Hospital Current Accepting new patients
Physical Medicine Associates LTD Past Accepting new patients

Locations

1805 Shea Center Dr
Ste 450
Highlands Ranch, CO 80129

7720 S Broadway
Ste 310
Littleton, CO 80122
Phone (303) 584-5844

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: kelly.visconti.1@9821.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9821/brand/7/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1881118685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 310",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222624",
            "telephone_number": "303-584-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 310",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222624",
            "telephone_number": "303-584-5844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Michigan Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102916",
            "country_code": "US",
            "telephone_number": "202-476-5009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8101 Hinson Farm Rd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "22306",
            "country_code": "US",
            "telephone_number": "703-738-4378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6862 Elm St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013862",
            "country_code": "US",
            "telephone_number": "703-745-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISCONTI",
        "first_name": "KELLY",
        "middle_name": "RIELY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1061175",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175328",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "1699032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kellyriely@nspc.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "8101 Hinson Farm Rd Ste 308",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223063408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "RIELY",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.