Individual provider Active NPI

Jordan Deneen Costlow, FNP

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1083137202
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0998687-NP Issued in CO
Practice address
1445 S Pearl St
Denver, CO 80210-2226
Phone
(303) 600-3699
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP134095 TX
Nurse Practitioner 363L00000X APN.0998687-NP CO Primary

Addresses

Primary practice location

1445 S Pearl St
Denver, CO 80210-2226

Mailing address

1445 S Pearl St
Denver, CO 80210-2226
Phone (303) 600-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240430004096 CO Practitioner - Nurse Practitioner 3375815376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0998687-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Family Medicine PC CurrentSince Mar 3, 2024 Accepting new patients
Texas Health Care, P.L.L.C. PastSince Mar 6, 2019 Accepting new patients
Texas Health Care, P.L.L.C. PastSince Aug 8, 2017 Accepting new patients

Locations

1445 S Pearl St
Denver, CO 80210
Phone (303) 600-3699

Interoperability endpoints

  • Direct secure messaging: jordan.costlowold.p1@direct.thc.nextgenshare.com
  • Direct secure messaging: jordan.costlow.1@23883.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23883/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1083137202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 S PEARL ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102226",
            "telephone_number": "303-600-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 S PEARL ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102226",
            "telephone_number": "303-600-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTLOW",
        "first_name": "JORDAN",
        "middle_name": "DENEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134095",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0998687-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.