Active NPI
Jennifer Lynn Even, M.D.
- Obstetrics & Gynecology Physician
- Fort Carson, CO
National Provider Identifier
1104827468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 37651
- Practice address
- 1650 Cochrane Circle
Fort Carson, CO 80913 - Phone
- (719) 526-2361
- Fax
- (719) 526-7732
- NPI assigned
- Aug 9, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 37651 | CO | Primary |
Addresses
Primary practice location
1650 Cochrane Circle
Fort Carson, CO 80913
Mailing address
1650 Cochrane Circle
Fort Carson, CO 80913
Phone (719) 526-2361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27203280 | Medicaid | CO |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37651 | CO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Gynecology Prof, LLC | Current | Accepting new patients |
Locations
265 S Parkside Dr
Ste 100
Colorado Springs, CO 80910
Phone (719) 304-2873
5731 Silverstone Ter
Ste 250
Colorado Springs, CO 80919
Phone (719) 535-9862
Interoperability endpoints
- jennifer.even.1@27628.direct.athenahealth.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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.
-
- Gynecology Physician
- Colorado Springs, CO
- NPI 1871576512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1104827468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIRCLE",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-2361",
"fax_number": "719-526-7732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIRCLE",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-2361",
"fax_number": "719-526-7732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVEN",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "37651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27203280",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.