Active NPI
Jennifer Evelyn Bach, RN
- Emergency Registered Nurse
- Parker, CO
National Provider Identifier
1366638363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 129232
- Practice address
- 6269 Northwoods Glen Dr
Parker, CO 80134-5759 - Phone
- (720) 842-5276
- NPI assigned
- Sep 24, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 129232 | CO | Primary |
| Pediatric Registered Nurse | 163WP0200X | 129232 | CO |
Addresses
Primary practice location
6269 Northwoods Glen Dr
Parker, CO 80134-5759
Mailing address
6269 Northwoods Glen Dr
Parker, CO 80134-5759
Phone (720) 842-5276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129232 | Other | CO | COLORADO NURSING LICENSE |
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 |
|---|---|---|---|
| 129232 | CO | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1366638363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6269 NORTHWOODS GLEN DR",
"city": "PARKER",
"state": "CO",
"postal_code": "801345759",
"telephone_number": "720-842-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6269 NORTHWOODS GLEN DR",
"city": "PARKER",
"state": "CO",
"postal_code": "801345759",
"telephone_number": "720-842-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACH",
"first_name": "JENNIFER",
"middle_name": "EVELYN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "CO",
"license": "129232",
"primary": true
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "CO",
"license": "129232",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO NURSING LICENSE",
"identifier": "129232",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.