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Deactivated NPI 1134513864 Deactivated / Inactive NPI Male Practitioner

Royal Edgar

Licensed Practical Nurse • Denver, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Royal Edgar has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 19, 2015
NPI Deactivation Date September 27, 2018
Total Practice Duration ~3 Years of Practice (2015 – 2018)

Professional Overview & Biography Verified Profile Summary

Royal Edgar was a registered Licensed Practical Nurse practicing in Denver, CO. Throughout an active medical career spanning 3 years, Royal Edgar provided care at the practice location at 4455 E 12TH AVE until profile deactivation on 2018-09-27.

Practice Location & Contact Primary Location

Practice Address

4455 E 12th Ave

Denver, CO 802202415

Telephone 3035047782
Fax 3035047783
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Denver, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
189 Specialists

Practicing in Denver, CO (721 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License CO PN0013137

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Allen Halko

Licensed Practical Nurse

NPI 1255729315
Erica Banuelos

Nurse's Aide

NPI 1497549687
NPI 1568287035

MEDICALASSISTANT

NPI 1710676432

MEDICALASSISTANT

Corie Hobbs , LPN

Licensed Vocational Nurse

NPI 1801242102

Licensed Practical Nurse

Shawnna Kirby , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1932715844

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 27, 2018

Record deactivated on September 27, 2018

NPI Profile Active March 19, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 19, 2015

Registered at 4455 E 12TH AVE, DENVER, CO 802202415 (Tel: 3035047782)

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Updated Business Mailing Address March 19, 2015

Registered at 4455 E 12TH AVE, DENVER, CO 802202415 (Tel: 3035047782)

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Provider Name / Credentials Updated March 19, 2015

Recorded as ROYAL EDGAR

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2015

Licensed Practical Nurse (License #PN0013137 in CO)

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Initial NPI Registration & Enumeration March 19, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134513864
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2015
Last Update: March 19, 2015
Deactivation Date: September 27, 2018

Mailing Address

4455 E 12th Ave

Denver, CO 802202415

Phone: 3035047782

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.