Active NPI
Karen Delacruz, NP
- Nurse Practitioner
- Pueblo, CO
National Provider Identifier
1952579773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 108205
- Practice address
- 902 Lakeview
Pueblo, CO 81004 - Phone
- (719) 557-5855
- Fax
- (719) 557-5097
- NPI assigned
- Feb 14, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 108205 | CO | Primary |
Addresses
Primary practice location
902 Lakeview
Pueblo, CO 81004
Mailing address
Department 1057
Denver, CO 80291-1057
Phone (303) 486-5500
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108205 | CO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1952579773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT 1057",
"city": "DENVER",
"state": "CO",
"postal_code": "802911057",
"telephone_number": "303-486-5500",
"fax_number": "303-486-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 LAKEVIEW",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81004",
"telephone_number": "719-557-5855",
"fax_number": "719-557-5097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELACRUZ",
"first_name": "KAREN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "108205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.