MS. JACQUELINE DENISE FEARON (NPI# 1922385020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922385020 |
Entity Type | Individual |
Full Name | MS. JACQUELINE DENISE FEARON |
Credential | RN |
Practice Address |
10700 E Geddes Ave Ste 200 Englewood CO 80112-3861 |
Practice Telephone | 7204933403 |
Practice Fax Number | 7208744423 |
Mailing Telephone | 7204933403 |
Mailing Fax Number | 7208744423 |
Enumeration Date | 2011-11-03 |
Last Update Date | 2011-11-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
173716 | CO | Nursing Service Providers |
Street Address |
10700 E GEDDES AVE STE 200 |
City | ENGLEWOOD |
State | CO |
Zip Code | 80112-3861 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972586998 | Ross A Goldstein | Radiology | 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 | 2005-11-23 |
1366858177 | Jessica Rae Cox | Radiology | 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 | 2014-07-01 |
1497188569 | Tamara P Reeves-sandoval | Nurse Practitioner | 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 | 2013-08-13 |
1033558101 | Tessa Suzanne Henderson | Nurse Practitioner | 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 | 2013-06-21 |
1104269943 | Mustafa Mahmoud Haddad | Radiology | 10700 E Geddes Ave Ste 200, Englewood, CO 80112 | 2013-04-11 |
1679810337 | Carol B. Johnston | Nurse Practitioner | 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 | 2013-01-14 |
1306100888 | Kelly Christine Borden | Radiology | 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 | 2012-06-28 |
1780947531 | Nishant Anilkumar Patel | Radiology | 10700 E Geddes Ave Ste 200, Englewood, CO 80112 | 2012-06-18 |
1699060582 | Cosette M. Stahl | Radiology | 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 | 2011-06-18 |
1548553522 | Jonathan Holstad | Radiology | 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 | 2011-05-24 |
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1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
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Taxonomy Code | 163WA2000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962732545 | Lucille A. Fitzharris | Registered Nurse | 3167 S Vine Ct, Englewood, CO 80113-3070 | 2010-01-05 |
1063464659 | Judith Anne Mcdonough | Registered Nurse | 155 Inverness Dr W, Suite 200, Englewood, CO 80112-5095 | 2006-05-16 |
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1801360367 | Rejane Gabriella Branch | Registered Nurse | 19448 E 59th Ave, Aurora, CO 80019-2009 | 2019-01-17 |
1629582952 | Yeong Richardson | Registered Nurse | 2060 S Havana St, Aurora, CO 80014-1014 | 2017-11-22 |
1114462421 | Tamera Ruschelle Martin | Registered Nurse | 16352 Parkside Dr, Parker, CO 80134-3742 | 2016-12-21 |
1720438963 | Lisa Carroll Wagoner | Registered Nurse | 5444 Fullerton Cir, Highlands Ranch, CO 80130-6642 | 2016-06-19 |
1588055487 | Cheryl Read | Registered Nurse | 15690 Akron St, Brighton, CO 80602-8682 | 2015-02-12 |
1972859387 | Cheryl Maybelle Curtis | Registered Nurse | 19814 E Greenwood Dr, Aurora, CO 80013-3709 | 2012-08-03 |
1396005443 | Mary Randolph | Registered Nurse | 497 West 4th Street, Dove Creek, CO 81324-0368 | 2012-05-23 |
1487975025 | Lisa M Kane | Registered Nurse | 12660 Esperanza Ct, Castle Rock, CO 80108-8161 | 2010-06-17 |
1104140433 | Marcie Dawn Cooper | Registered Nurse | 2264 Castlegate Dr N, Apt 731, Castle Rock, CO 80108-8340 | 2010-03-15 |
1659403996 | Jacqueline Marie Brown | Registered Nurse | 100 Kendall Dr, Lamar, CO 81052-3901 | 2007-03-12 |
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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.