Individual provider Active NPI

Jennifer Snow Gibbons, AU.D

  • Audiologist
  • Aurora, CO
National Provider Identifier
1154785459
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
756 Issued in CO
Practice address
1399 S Havana St
102
Aurora, CO 80012-4020
Phone
(303) 337-9699
Fax
(303) 337-9546
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 756 CO Primary

Addresses

Primary practice location

1399 S Havana St
102
Aurora, CO 80012-4020

Mailing address

8321 Sangre de Cristo Rd
Ste 202
Littleton, CO 80127-6425
Phone (303) 984-4414

Other names 1

  • Ms. Jennifer Lynn Snow Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
756COMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1154785459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 SANGRE DE CRISTO RD",
            "address_2": "STE 202",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276425",
            "telephone_number": "303-984-4414",
            "fax_number": "303-984-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 S HAVANA ST",
            "address_2": "102",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124020",
            "telephone_number": "303-337-9699",
            "fax_number": "303-337-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "JENNIFER",
        "middle_name": "SNOW",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SNOW",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.