MS. JENNY LEONG ABERNATHY (NPI# 1407059355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407059355 |
| Entity Type | Individual |
| Full Name | MS. JENNY LEONG ABERNATHY |
| Credential | FNP |
| Practice Address |
6685 Gunpark Dr Ste 102 Boulder CO 80301-3343 |
| Mailing Address |
5450 Western Ave Boulder CO 80301-2709 |
| Practice Telephone | 3034155199 |
| Practice Fax Number | 3034155198 |
| Mailing Telephone | 3034154770 |
| Mailing Fax Number | 3034154769 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2016-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | APN.0004740-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0004740-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 00939846 | 05 |
| Street Address |
6685 GUNPARK DR STE 102 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-3343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740837210 | Boulder Community Health | Clinic/Center | 6685 Gunpark Dr Ste 102, Boulder, CO 80301-3343 | 2019-08-20 |
| 1841843026 | Randolph S Davis | Nurse Practitioner | 6685 Gunpark Dr Ste 102, Boulder, CO 80301-3343 | 2019-07-17 |
| 1972071090 | Julie Ann Vanduine | Registered Nurse | 6685 Gunpark Dr Ste 102, Boulder, CO 80301-3343 | 2018-11-06 |
| 1215404595 | Scott David Parker | Nurse Practitioner | 6685 Gunpark Dr Ste 102, Boulder, CO 80301-3343 | 2018-10-25 |
| 1972026219 | Allison Rae Ballard | Registered Nurse | 6685 Gunpark Dr Ste 102, Boulder, CO 80301-3343 | 2017-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909099 | Ruth Ann Bentley | Nurse Practitioner | 3735 Birchwood Dr Apt 28, Boulder, CO 80304-1422 | 2020-07-13 |
| 1952948648 | Dana Scritchfield | Nurse Practitioner | 3800 Northbrook Dr, Boulder, CO 80304-1434 | 2019-12-02 |
| 1881069433 | Barbara White | Nurse Practitioner | 440 Seven Hills Dr, Boulder, CO 80302-9737 | 2015-12-08 |
| 1851794572 | Genevieve Lamancusa | Nurse Practitioner | 3450 Ash Ave, Boulder, CO 80305-3432 | 2014-10-08 |
| 1164703575 | Megan Foreman | Nurse Practitioner | 7722 Devonshire Ct, Boulder, CO 80301-4111 | 2011-08-30 |
| 1740303965 | Gloria Ruth Brisson | Nurse Practitioner | Wardenburg Health Clinic, Cb 119, Boulder, CO 80309-0001 | 2007-04-10 |
| 1083781678 | Brande Marie Ingrando | Nurse Practitioner | 1000 Alpine Ave Ste 100, Boulder, CO 80304-3409 | 2006-11-29 |
| 1356306955 | Susan Lee Benson | Nurse Practitioner | 1331 Iris Avenue, Mental Health Partners, Boulder, CO 80304-2296 | 2006-04-18 |
| 1205836848 | Theresa Fedak | Nurse Practitioner | 3145 20th St, Boulder, CO 80304-2700 | 2005-07-26 |
| 1629628177 | Edith Helena Presler | Nurse Practitioner | 2525 13th St, Boulder, CO 80304-4104 | 2019-09-17 |
| Find all providers in BOULDER | ||||
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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.