Jennifer Webers Tetrault, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0005214 Issued in CO

Practice address

7120 E County Line Rd
Highlands Ranch, CO 80126-3926

Phone

(720) 446-5891

Fax

(303) 220-9688

NPI assigned

Oct 2, 2013

Last updated

Mar 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthone Carenow Urgent Care LLCGroup PAC ID 3375837339, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Healthone Carenow Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Greenwood Village, CO
  • NPI 1083077051
  Medicare reassignment Care Compare group
• Tri-City Express Care, PLLC

  dba FastMed Urgent Care

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1649554940
  NPD
• Healthone Carenow Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Highlands Ranch, CO
  • NPI 1174129522
  NPD (past)

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1083041271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E STATE HIGHWAY 121 STE 600",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197942",
            "telephone_number": "972-745-7500",
            "fax_number": "972-745-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 E COUNTY LINE RD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801263926",
            "telephone_number": "720-446-5891",
            "fax_number": "303-220-9688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1895 W Valencia Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857466555",
            "country_code": "US",
            "telephone_number": "520-576-5104",
            "fax_number": "520-807-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TETRAULT",
        "first_name": "JENNIFER",
        "middle_name": "WEBERS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susannah Teeuwen, PTA
• Karen Lee Tegner Manseth, OTR
• Carissa Tejada, LCSW
• Anne Christine Tellez, MS, OTR
• Erin Terry, MS, OTR/L
• Beverly Ellen Tew, MD
• TFL Provider Network LLC (The Fitness Lab)
• The Little Clinic of Colorado, LLC
• The Physioroom, LLC (The Physioroom)
• The Sound Relief Center LLC (Sound Relief Hearing Center)

• Physician Assistant in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.