Individual provider Active NPI

Jennifer Diane Longshore, PNP- PC

  • Pediatric Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1083222897
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0995027 Issued in CO
Practice address
7720 S Broadway Ste 540
Littleton, CO 80122-2635
Phone
(303) 779-3013
Fax
(303) 779-0343
NPI assigned
Jul 17, 2020
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0995027 CO Primary

Addresses

Primary practice location

7720 S Broadway Ste 540
Littleton, CO 80122-2635

Mailing address

1805 Shea Center Dr Ste 450
Highlands Ranch, CO 80129-2255
Phone (303) 357-2559

Other practice location 1

10099 Ridgegate Pkwy Ste 290
Lone Tree, CO 80124-5534
Phone (303) 803-1005

Other practice location 2

6965 Tutt Blvd
Colorado Springs, CO 80923-3596
Phone (719) 266-5944

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
I20250221000288 CO Practitioner - Nurse Practitioner 7618497660 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0995027COMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onpoint Medical Group, LLC Current Accepting new patients
Onpoint Medical Group, LLC CurrentSince Mar 1, 2025 Accepting new patients
Onpoint Medical Group, LLC CurrentSince Mar 1, 2025 Accepting new patients
Onpoint Medical Group, LLC PastSince Mar 1, 2025 Accepting new patients
Pediaclinic LLC Past Accepting new patients

Locations

1805 Shea Center Dr
Ste 450
Highlands Ranch, CO 80129

7720 S Broadway
Ste 540
Littleton, CO 80122
Phone (303) 779-3013

7335 S Pierce St
Littleton, CO 80128
Phone (303) 932-1919

10099 Ridgegate Pkwy
Ste 290
Lone Tree, CO 80124
Phone (303) 791-2112

10099 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

Organizations & group practices 5

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": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1083222897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 450",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292255",
            "telephone_number": "303-357-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 540",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222635",
            "telephone_number": "303-779-3013",
            "fax_number": "303-779-0343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10099 Ridgegate Pkwy Ste 290",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245534",
            "country_code": "US",
            "telephone_number": "303-803-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6965 Tutt Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809233596",
            "country_code": "US",
            "telephone_number": "719-266-5944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGSHORE",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "credential": "PNP- PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "0995027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.