Jennifer Nelson

Primary specialty

Child Physical Disabilities Respite CareTaxonomy code 385HR2065X

Practice address

515 Fox Run Cir
Colorado Springs, CO 80921-3032

Phone

(719) 271-4317

NPI assigned

Apr 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• JJN Home Health Agency Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Colorado Springs, CO
  • NPI 1144779414
  NPD (past) Authorized official

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": "1346604691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FOX RUN CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213032",
            "telephone_number": "719-271-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FOX RUN CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213032",
            "telephone_number": "719-271-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99986361",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward L Nelson Jr., IDMT
• Georgegina Nelson
• Hannah Nelson
• James D Nelson Jr., D.D.S
• Janae Nelson, LCSW
• Jerri Lynn Nelson, RMT, CNMT
• Julie Ann Nelson, M.S. CCC SLP
• Katelyn Anne Nelson
• Katherine Elizabeth Nelson, LPC
• Kelsey Nelson, LMT

• Respite Care in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Respite Care in Colorado

• 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.