MR. JONATHAN PAUL NIENHOUSE


Address: 6685 Gunpark Dr, Suite 102, Boulder, CO 80301-3388
Phone: 3034155199

MR. JONATHAN PAUL NIENHOUSE (NPI# 1841388402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841388402
Entity Type Individual
Full Name MR. JONATHAN PAUL NIENHOUSE
Credential FNP
Practice Address 6685 Gunpark Dr
Suite 102
Boulder
CO 80301-3388
Mailing Address 5450 Western Ave
Boulder
CO 80301-2709
Practice Telephone 3034155199
Practice Fax Number 3034155198
Mailing Telephone 3034155199
Mailing Fax Number 3034155198
Enumeration Date 2006-10-10
Last Update Date 2017-11-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APN.0003741-NP CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 24231860 05

Office Location

Street Address 6685 GUNPARK DR
SUITE 102
City BOULDER
State CO
Zip Code 80301-3388

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184607772 Anna M Rooney Family Medicine 6685 Gunpark Dr, Ste 110, Boulder, CO 80301-3388 2005-11-28
1972140879 Boulder Community Health Clinical Medical Laboratory 6685 Gunpark Dr, Boulder, CO 80301-3388 2019-12-10
1205485075 Boulder Community Health Clinic/Center 6685 Gunpark Dr, Boulder, CO 80301-3388 2019-09-05
1942639075 Kaaren Nicole Mckaig Nurse Practitioner 6685 Gunpark Dr, Suite 102, Boulder, CO 80301-3388 2013-11-08
1871922161 Zachary A Campbell Nurse Practitioner 6685 Gunpark Dr, Suite 102, Boulder, CO 80301-3388 2013-11-06
1619236502 Julie Owen Putt Registered Nurse 6685 Gunpark Dr, Ste 102, Boulder, CO 80301-3388 2012-05-11
1265567952 Jillian Elizabeth Horner Family Medicine 6685 Gunpark Dr, Suite 110, Boulder, CO 80301-3388 2007-02-22
1073578894 Michael Corey Mccarty Family Medicine 6685 Gunpark Dr, Ste. 110, Boulder, CO 80301-3388 2006-04-18

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NPI Name Taxonomy Address Enumeration
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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
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1538688908 Kyle N. Daniel Dds PC Dentist 2830 Valmont Rd, Boulder, CO 80301 2017-09-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City BOULDER
Zip Code 80301

Improve Information

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Dataset Information

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.

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