Active NPI
Sareyna Camille Jackson, RN
- Registered Nurse
- Denver, CO
National Provider Identifier
1275359127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1621246
- Practice address
- 2369 S Trenton Way Ste H
Denver, CO 80231-3828 - Phone
- (720) 814-0738
- NPI assigned
- Nov 25, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1621246 | CO | Primary |
Addresses
Primary practice location
2369 S Trenton Way Ste H
Denver, CO 80231-3828
Mailing address
20048 E 62ND Ave
Aurora, CO 80019-2290
Phone (678) 483-3839
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1621246 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1275359127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20048 E 62ND AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800192290",
"telephone_number": "678-483-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2369 S TRENTON WAY STE H",
"city": "DENVER",
"state": "CO",
"postal_code": "802313828",
"telephone_number": "720-814-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "SAREYNA",
"middle_name": "CAMILLE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-25",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "1621246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.