Angelica Calderon de Polanco

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

11059 E Bethany Dr Ste 101
Aurora, CO 80014-2617

Phone

(303) 617-2457

NPI assigned

Mar 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1962962266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11059 E BETHANY DR STE 101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142617",
            "telephone_number": "303-617-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11059 E BETHANY DR STE 101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142617",
            "telephone_number": "303-617-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON DE POLANCO",
        "first_name": "ANGELICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Danielle Calabrese, MD
• Chelsea Calandra, DNP, PMHNP, RN, BSN
• Susan Lynn Calcaterra, M.D.
• Lauren M Caldas, MA
• Amelia Calder, MS CF-SLP
• Marysela Calderon Sierra, RT(R) CT
• Jacqueline Calderone, M.D.
• Bradley Aaron Caldwell, CAA
• Brian Thomas Caldwell, M.D.
• Ceaundra K Caldwell

• Peer Specialist in Aurora, CO
• Providers in Aurora, CO by specialty
• Peer Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.