Active NPI
Jacqueline Avila
- Family Nurse Practitioner
- Denver, CO
National Provider Identifier
1023610516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.1000255
- Practice address
- 2795 N Speer Blvd Ste 11
Denver, CO 80211-4269 - Phone
- (303) 800-1821
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 127520 | CO | |
| Family Nurse Practitioner | 363LF0000X | APN.1000255 | CO | Primary |
Addresses
Primary practice location
2795 N Speer Blvd Ste 11
Denver, CO 80211-4269
Mailing address
7761 Shaffer Pkwy Ste 220
Littleton, CO 80127-3731
Phone (303) 800-1821
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
| License | State | Type | Specialty |
|---|---|---|---|
| 127520 | CO | MD | Registered Nurse |
| APN.1000255 | CO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1023610516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7761 SHAFFER PKWY STE 220",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801273731",
"telephone_number": "303-800-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2795 N SPEER BLVD STE 11",
"city": "DENVER",
"state": "CO",
"postal_code": "802114269",
"telephone_number": "303-800-1821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "JACQUELINE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "CO",
"license": "127520",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.1000255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.