Jordan Zavala

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0998022 Issued in CO

Practice address

10050 Ralston Rd # 1
Arvada, CO 80004-4974

Phone

(720) 583-6145

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Nurse Practitioner

Education

George Washington University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Housecalls LLCGroup PAC ID 0840212809, 124 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Optimal Home Care Loveland Home health agency, Loveland, CO, CCN 067546
• Brighton Hospice Colorado, LLC Hospice, Denver, CO, CCN 061613
• St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CICGBD

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.

• Physician Housecalls LLC

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1295789824

  CO, Single Specialty

  Medicare reassignment Care Compare group NPD
• 5280 Medical Concierge Inc

  • Family Medicine Physician
  • Arvada, CO
  • NPI 1659988616

  Single Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brighton Hospice Colorado LLC

  • Community Based Hospice Care Agency
  • Denver, CO
  • NPI 1841847340

  Hospice

  Care Compare affiliation
• GSD Initiative LLC

  • Home Health Agency
  • Loveland, CO
  • NPI 1912384413
  Care Compare affiliation
• St Lukes Regional Medical Center

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1275256166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11309 E 25TH DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101267",
            "telephone_number": "703-963-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 RALSTON RD # 1",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044974",
            "telephone_number": "720-583-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0998022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Marie Zachmann, RN, IBCLC
• Amy Zack
• Jamie C Zajac, D.C.
• Kristina M Zakir
• Beth Zarian, MSN, APN, FNP-C
• David Adam Zeitlin, DDS
• Margaret Anne Zellmer
• Marina Zemel, FNP
• Liping Zhou
• Rachel Zigman, MA, LPC

• All providers in Arvada, CO
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.