Individual provider Active NPI

Laurie De Lalio, CNS

  • Adult Psychiatric/Mental Health Registered Nurse
  • Westminster, CO
National Provider Identifier
1962647099
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
0004466 Issued in CO
Practice address
2551 W 84TH Ave
Westminster, CO 80031-3807
Phone
(303) 561-5010
Fax
(303) 561-5050
NPI assigned
Dec 3, 2008
Last updated
May 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 0004466 CO Primary

Addresses

Primary practice location

2551 W 84TH Ave
Westminster, CO 80031-3807

Mailing address

2551 W 84TH Ave
Westminster, CO 80031-3807
Phone (303) 561-5010

Other identifiers 2

IdentifierTypeStateIssuer
17155100MedicaidCO
P01419467OtherCOMCR RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090602000312 CO Practitioner - Certified Clinical Nurse Specialist (CNS) 1052461654 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
0004466COMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Front Range, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Intermountain Front Range, Inc. Current Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Feb 16, 2017 Accepting new patients
Portercare Adventist Health System CurrentSince Feb 16, 2017 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Jan 1, 2018 Accepting new patients

Locations

500 Discovery Pkwy
Ste 100
Superior, CO 80027
Phone (303) 403-7800

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

Organizations & group practices 6

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": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1962647099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 W 84TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313807",
            "telephone_number": "303-561-5010",
            "fax_number": "303-561-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 W 84TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313807",
            "telephone_number": "303-561-5010",
            "fax_number": "303-561-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LALIO",
        "first_name": "LAURIE",
        "name_prefix": "Ms.",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CO",
            "license": "0004466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17155100",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RAILROAD",
            "identifier": "P01419467",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.