SUSAN MCMULLEN JAGER (NPI# 1134117583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134117583 |
| Entity Type | Individual |
| Full Name | SUSAN MCMULLEN JAGER |
| Credential | NP |
| Practice Address |
1701 W 72nd Ave 3rd Floor Denver CO 80221-2721 |
| Mailing Address |
1735 S Public Rd Ste 203 Lafayette CO 80026-7093 |
| Practice Telephone | 3036504460 |
| Practice Fax Number | 7205654128 |
| Mailing Telephone | 3036653036 |
| Mailing Fax Number | 3036653397 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0002692-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 10823271 | 05 | |
| DEA | MJ1294418 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811245988 | Susan Jager | Marriage & Family Therapist | 1801 Bush St, Suite 210, San Francisco, CA 94109-5239 | 2012-08-21 |
| Street Address |
1701 W 72ND AVE 3RD FLOOR |
| City | DENVER |
| State | CO |
| Zip Code | 80221-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256522 | Clinica Campesina Family Health Services | Clinic/Center | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2005-09-23 |
| 1700422128 | Hilary Feller | Physician Assistant | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2019-11-20 |
| 1609421379 | Kylie Ferri | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2019-08-08 |
| 1144873753 | Rachel Shaffer | Physician Assistant | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2019-07-23 |
| 1205308434 | Raquel Fonte Cofield | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-12-28 |
| 1831674274 | Jenni K Polivka | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-10-02 |
| 1407336738 | Kesley Low | Dental Hygienist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-08-16 |
| 1922504976 | Rene Corral | Pharmacist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-03-30 |
| 1699273888 | Shannon Grossman | Counselor | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2018-01-23 |
| 1093246837 | Anne Shaffer | Dentist | 1701 W 72nd Ave, Denver, CO 80221-2721 | 2017-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073060505 | Sayfon Siamphone | Dental Hygienist | 2220 W 80th Pl, Denver, CO 80221 | 2016-09-01 |
| 1477958445 | Ravid Moshe Gur | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Avenue, Denver, CO 80221 | 2014-11-03 |
| 1447654223 | Rebecca Sonnenburg | Physical Therapy Assistant | 3150 W 63rd Ave, Denver, CO 80221 | 2014-10-22 |
| 1205126463 | Deanne Marie Hufnagel Wingerter | Pediatrics | 4975 Newton St, Denver, CO 80221 | 2011-04-08 |
| 1558662510 | Grant Kinser | Counselor | 4805 Umatilla St, Denver, CO 80221 | 2010-11-08 |
| 1417261207 | Wal-mart Stores Inc. | Eyewear Supplier (Equipment, not the service) | 7101 E 128th St., Thornton, CO 80221 | 2010-08-04 |
| 1811211923 | Lymari Diaz | Counselor | 8384 Elati S., Denver, CO 80221 | 2010-03-18 |
| 1881928463 | Jonathan M Sullivan | Case Manager/Care Coordinator | 2829 W 33rd Ave., Denver, CO 80221 | 2009-09-29 |
| 1851536569 | Tyler Stuart Root | Specialist/Technologist, Other | 6696 Warren Dr, Denver, CO 80221 | 2008-12-09 |
| 1851554828 | Jessica J Kraeft | Radiology | 1756 W 67th Ave, Denver, CO 80221 | 2008-07-09 |
| Find all providers in zip 80221 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364952 | Shannon Elena Mckenna | Nurse Practitioner | 3047 Lawrence St, Denver, CO 80205-2317 | 2020-10-17 |
| 1306452230 | Daily Apple Clinic, Inc. | Nurse Practitioner | 3570 E 12th Ave Ste 203, Denver, CO 80206-3434 | 2020-09-16 |
| 1619589520 | Kristie Lee Hudson | Nurse Practitioner | 2820 Jasmine St, Denver, CO 80207-2818 | 2020-08-21 |
| 1174134456 | Sarah Hoefert | Nurse Practitioner | 4870 S Jellison St, Denver, CO 80123-2164 | 2020-08-11 |
| 1356951065 | Julianne Johnson | Nurse Practitioner | 1077 Race St Apt 303, Denver, CO 80206-2828 | 2020-08-06 |
| 1073121794 | Sarah M Gavens | Nurse Practitioner | 5091 N Xenia St, Denver, CO 80238-3755 | 2020-07-20 |
| 1992322036 | Lauren Christiansen | Nurse Practitioner | 3101 Blake St Unit 201, Denver, CO 80205-2578 | 2020-07-05 |
| 1699304667 | Jennifer R Mooney, Msn, Aprn-c, LLC | Nurse Practitioner | 3955 E Exposition Ave Ste 100, Denver, CO 80209-5031 | 2020-04-02 |
| 1104453786 | Kaci Hauck | Nurse Practitioner | 7012 E 4th Ave, Denver, CO 80220-6111 | 2020-03-24 |
| 1093351421 | Michael W Watson | Nurse Practitioner | 5250 Leetsdale Dr # 220, Denver, CO 80246-1438 | 2019-11-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.