MRS. JENNIFER DIANE NOVOTNY (NPI# 1669998464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669998464 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER DIANE NOVOTNY |
| Credential | FNP-BC, FNP-C, APRN |
| Practice Address |
3333 S Bannock St Ste 400 Englewood CO 80110-2436 |
| Practice Telephone | 3038831417 |
| Practice Fax Number | 3035006966 |
| Mailing Telephone | 3038831417 |
| Mailing Fax Number | 3035006966 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0993283-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1477182665 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841854296 | Jennifer Novotny | Massage Therapist | 307 W Geneseo St Apt A, Lafayette, CO 80026-1105 | 2019-04-30 |
| 1770850364 | Jennifer Elizabeth Novotny | Pharmacist | 1520 W 4th St, Pueblo, CO 81004-1207 | 2011-11-26 |
| Street Address |
3333 S BANNOCK ST STE 400 |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80110-2436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477182665 | Community Supported Family Medicine, LLC | Clinic/Center | 3333 S Bannock St Ste 400, Englewood, CO 80110-2436 | 2020-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803305 | Jamie Katherine Mcnair | Counselor | 3460 S. Sheridan Blvd., Sheridan, CO 80110 | 2020-02-20 |
| 1285152926 | Julie Sw Zhu | Nurse's Aide | 4141 S Navajo Street Apt 504a, Englewood, CO 80110 | 2017-09-01 |
| 1457878183 | Ryan Lynch | Counselor | 1455 Beeler St., Aurora, CO 80110 | 2017-08-24 |
| 1326565177 | Fredric M Sonstein Md Mba Pllc | Neurological Surgery | 333 W Hampden Ave Ste 800, Englewood, CO 80110 | 2017-08-23 |
| 1285160283 | No Smile Left Behind Pllc | Dentist | 750 W Hampden Avenue, Suite 516, Englewood, CO 80110 | 2017-05-11 |
| 1619369949 | Infinite Diagnostics, LLC | Clinical Medical Laboratory | 730 W Hamden Ave, Suite 200, Englewood, CO 80110 | 2015-02-24 |
| 1861833386 | Hospice Care of The Rockies LLC | Hospice Care, Community Based | 750 W Hampden Ave Ste 280, Englewood, CO 80110 | 2013-07-12 |
| 1336496470 | Michelle L Gambel | Physical Therapist | 401 W Hampden Pl Ste 10, Englewood, CO 80110 | 2012-08-08 |
| 1467729012 | Angela Johnson | Social Worker | 333 West Hampton Ave. Suite 705, Denver, CO 80110 | 2011-11-28 |
| 1881986479 | Angela Han Choi | Registered Nurse | 750 W Hampden Ave Ste 105, Englewood, CO 80110 | 2011-05-13 |
| Find all providers in zip 80110 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508495821 | Jawana Lynn Watson | Nurse Practitioner | 307 Kristina Lynn Pl, Englewood, OH 45322-2354 | 2020-04-07 |
| 1003449737 | Michelle May Roe | Nurse Practitioner | 21 Oakland St, Englewood, NJ 07631-2112 | 2020-02-21 |
| 1528608197 | Ashley Lynn Thompson | Nurse Practitioner | 885 N Union Rd., Englewood, OH 45322 | 2020-01-13 |
| 1619518453 | Theresa Carol Lee | Nurse Practitioner | 420 Grand Ave Ste 101, Englewood, NJ 07631-4141 | 2019-10-02 |
| 1194373977 | Jane Uloma Ibe | Nurse Practitioner | 4018 Clearstream Way, Englewood, OH 45322-1458 | 2019-08-26 |
| 1932768330 | Laurie Ann Cucco | Nurse Practitioner | 3302 Riverview Ave, Englewood, NJ 07631-8720 | 2019-06-10 |
| 1326522848 | Quynh Doan | Nurse Practitioner | 2828 S Mccall Rd Ste 8, Englewood, FL 34224-9516 | 2018-09-20 |
| 1003366949 | Tiffany Kristine Lamarca | Nurse Practitioner | 2061 Englewood Rd Ste 5, Englewood, FL 34223 | 2016-10-04 |
| 1851844211 | Sm Medical LLC | Nurse Practitioner | 1008 Sunset Dr, Englewood, OH 45322-2253 | 2016-08-02 |
| 1801247259 | Mandi Slaton-saffles | Nurse Practitioner | 110 County Road 573, Englewood, TN 37329-5135 | 2016-06-27 |
| Find all providers in ENGLEWOOD | ||||
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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.