Active NPI
Kelly Riely Visconti, CRNP
- Family Nurse Practitioner
- Littleton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1699032
- Practice address
- 7720 S Broadway Ste 310
Littleton, CO 80122-2624 - Phone
- (303) 584-5844
- NPI assigned
- Aug 2, 2017
- Last updated
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kellyriely@nspc.medalliesdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN1061175 | DC | MD | Nurse Practitioner |
| 1699032 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital | Current | Accepting new patients | |
| Children's Hospital | Current | Accepting new patients | |
| Reflect Health LLC | Current | 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
- kelly.visconti.1@9821.direct.athenahealth.com
- 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.
-
dba South Denver Pain and Wellness
- Pain Medicine Physician
- Littleton, CO
- NPI 1134875602
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
dba Children's National Specialty Pharmacy
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
-
dba Children's National Medical Associates
- Pediatrics Physician
- Washington, DC
- NPI 1780800128
-
- Clinical Laboratory Director (Non-physician)
- Columbia, MD
- NPI 1750840666
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.