MS. JILL MARIE BROGDON (NPI# 1861867632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861867632 |
| Entity Type | Individual |
| Full Name | MS. JILL MARIE BROGDON |
| Other Name | JILL MARIE HERMAN |
| Credential | FNP-BC |
| Practice Address |
12650 W 64th Ave Unit 501 Arvada CO 80004-3893 |
| Mailing Address |
12650 W 64th Ave Ste. E-501 Arvada CO 80004-3893 |
| Practice Telephone | 3034314127 |
| Mailing Telephone | 3034314127 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0162674 | CO | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0991927 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12605 E 16th Ave, Aurora, CO 800452545 | 7208480000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689701575 | Jill Brogdon | Specialist | 5522 E 989 N, Demotte, IN 46310-8016 | 2007-02-27 |
| Street Address |
12650 W 64TH AVE UNIT 501 |
| City | ARVADA |
| State | CO |
| Zip Code | 80004-3893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659491546 | Perfect Teeth - 64th and Ward P.C. | Dentist | 12650 W 64th Ave, Unit J, Arvada, CO 80004-3893 | 2007-04-02 |
| 1306241278 | Leah Jones | Nurse Practitioner | 12650 W 64th Ave, Suite E501, Arvada, CO 80004-3893 | 2014-11-04 |
| 1558760579 | Paul Casey | Dentist | 12650 W 64th Ave, Arvada, CO 80004-3893 | 2014-08-14 |
| 1619390051 | Beth Damstedt | Physician Assistant | 12650 W 64th Ave, Unit E501, Arvada, CO 80004-3893 | 2014-01-21 |
| 1861738981 | Kelly Jo Wagner | Nurse Practitioner | 12650 W 64th Ave, Unit E501, Arvada, CO 80004-3893 | 2012-12-17 |
| 1578831137 | Megan Mohatt | Physician Assistant | 12650 W 64th Ave, Unit E501, Arvada, CO 80004-3893 | 2011-12-09 |
| 1447555016 | Joshua Aaron Bezecny | Physician Assistant | 12650 W 64th Ave, Unit E501, Arvada, CO 80004-3893 | 2011-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503194 | Flynn Behavior Associates | Behavioral Analyst | 13185 W 62nd Place, Arvada, CO 80004 | 2019-02-06 |
| 1124543384 | Zoe Denver Nelson | Counselor | 9850 W 59th Pl, Arvada, CO 80004 | 2017-08-09 |
| 1982134573 | Cynthia Jean Keefover | Physical Therapy Assistant | 6625 Union St, Arvada, CO 80004 | 2017-06-15 |
| 1235680257 | Uma Sitaula | Nurse Practitioner | 12650 W 64th Ave Unit E 105, Arvada, CO 80004 | 2016-10-14 |
| 1124494091 | Alan Ross Hofman | Physical Therapist | 5945 Ward Rd Ste 110, Arvada, CO 80004 | 2015-08-14 |
| 1770969917 | Jennifer Lynn Johnson | Day Training/Habilitation Specialist | 6725 Yarrow St., Arvada, CO 80004 | 2015-08-10 |
| 1649680414 | Johanna Meister | Community Health Worker | 7603 Robinson Way, Arvada, CO 80004 | 2014-05-02 |
| 1922346915 | Ashley L Saylor | Chiropractor | 10050 Ralston Rd. Suite E, Arvada, CO 80004 | 2013-01-25 |
| 1225382906 | Alison Schut | Nurse Practitioner | 12650 W 64th Ave Ste E501, Arvada, CO 80004 | 2012-11-02 |
| 1881984102 | Green Leaf Massage Center. LLC | Health Maintenance Organization | 11890 W.64th Avenue, Arvada, CO 80004 | 2011-04-08 |
| Find all providers in zip 80004 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121891 | Melissa Weiland | Nurse Practitioner | 7768 Vance Dr Ste B, Arvada, CO 80003-2153 | 2020-10-14 |
| 1033721287 | Allison Marie Hosack | Nurse Practitioner | 11324 Allendale Dr, Arvada, CO 80004-4425 | 2020-08-19 |
| 1932730975 | Karin Blais | Nurse Practitioner | 18220 W 84th Pl, Arvada, CO 80007-7192 | 2020-01-29 |
| 1184264020 | Nicole Galanits Ficco | Nurse Practitioner | 13936 W 74th Pl, Arvada, CO 80005-3008 | 2020-01-08 |
| 1417415217 | Elizabeth Irene Sheiner | Nurse Practitioner | 14547 W 57th Pl, Arvada, CO 80002-1170 | 2019-03-11 |
| 1013405711 | Jill Aucoin | Nurse Practitioner | 6065 Terry Ln, Arvada, CO 80403-2649 | 2018-04-27 |
| 1386154268 | Beth Zarian | Nurse Practitioner | 8167 W 81st Dr, Arvada, CO 80005-2463 | 2017-10-05 |
| 1235680257 | Uma Sitaula | Nurse Practitioner | 12650 W 64th Ave Unit E 105, Arvada, CO 80004 | 2016-10-14 |
| 1104214253 | Megan Carey Plunk | Nurse Practitioner | 8850 Ralston Rd Ste 102, Arvada, CO 80002-2248 | 2014-12-23 |
| 1659606085 | House Call Connections, LLC | Nurse Practitioner | 15400 W 64th Ave, 9e, Suite 14, Arvada, CO 80007-6852 | 2009-10-02 |
| Find all providers in ARVADA | ||||
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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.