Individual provider Active NPI

Alexis Ivans Janecka, FNP, WHNP

  • Women's Health Nurse Practitioner
  • Brighton, CO
National Provider Identifier
1295197234
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0993233 Issued in CO
Practice address
4430 S Adams County Pkwy
Brighton, CO 80601-8222
Phone
(720) 369-5166
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5008435 NC
Women's Health Nurse Practitioner 363LW0102X 0993233 CO Primary

Addresses

Primary practice location

4430 S Adams County Pkwy
Brighton, CO 80601-8222

Mailing address

4430 S Adams County Pkwy
Brighton, CO 80601-8222
Phone (720) 369-5166

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008435NCMDNurse Practitioner
0993233COMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1295197234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 S ADAMS COUNTY PKWY",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806018222",
            "telephone_number": "720-369-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 S ADAMS COUNTY PKWY",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806018222",
            "telephone_number": "720-369-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANECKA",
        "first_name": "ALEXIS",
        "middle_name": "IVANS",
        "credential": "FNP, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008435",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "0993233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.