Individual provider Active NPI

Ammie Jaggars, LSA

  • Surgical Assistant
  • Lone Tree, CO
National Provider Identifier
1023253341
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA0002225 Issued in CO
Practice address
9451 E Winding Hill Ave
Lone Tree, CO 80124-8472
Phone
(832) 881-8856
NPI assigned
Dec 16, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X SA00320 TX
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X SA0002225 CO Primary

Addresses

Primary practice location

9451 E Winding Hill Ave
Lone Tree, CO 80124-8472

Mailing address

9451 E. Winding Hill Ave.
Lone Tree, CO 80124
Phone (832) 881-8856

Other practice location 1

13602 Ingle Oak Ct
Houston, TX 77041-1271
Phone (832) 881-8856

Other names 1

  • Ammie J Jaggars Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA0002225COMDSurgical Assistant
SA00320TXMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Braegen Enterprises Single Specialty Current Accepting new patients
Life Orthotics Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023253341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9451 E. WINDING HILL AVE.",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "832-881-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9451 E WINDING HILL AVE",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801248472",
            "telephone_number": "832-881-8856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13602 Ingle Oak Ct",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770411271",
            "country_code": "US",
            "telephone_number": "832-881-8856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGGARS",
        "first_name": "AMMIE",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "SA00320",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "SA0002225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMMIE",
            "last_name": "JAGGARS",
            "middle_name": "J",
            "credential": "L.S.A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.