Organization Active NPI

Office of Kimberly Jeffrey DNP

  • Acute Care Nurse Practitioner
  • Grand Junction, CO
National Provider Identifier
1376220434
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
OFFICE OF KIMBERLY JEFFREY DNP
Doing business as
Office of Kimberly Jeffrey DNP
Practice address
3150 N 12TH St Unit T1000
Grand Junction, CO 81506-2863
Phone
(970) 254-2470
Fax
(970) 965-0032
NPI assigned
Jun 30, 2023
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Kimberly Jeffrey, DNPNPI 1730517095
Title
Nurse Practitioner
Phone
(970) 254-2470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X Primary

Addresses

Primary practice location

3150 N 12TH St Unit T1000
Grand Junction, CO 81506-2863

Mailing address

3150 N 12TH St Unit T1000
Grand Junction, CO 81506-2863
Phone (970) 254-2470

Other names 1

  • Office of Kimberly Jeffrey DNP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241004003262 CO Part B Supplier - Clinic/Group Practice 4082145776 Receives reassigned benefits from 4 practitioners
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1376220434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N 12TH ST UNIT T1000",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815062863",
            "telephone_number": "970-254-2470",
            "fax_number": "970-965-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N 12TH ST UNIT T1000",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815062863",
            "telephone_number": "970-254-2470",
            "fax_number": "970-965-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE OF KIMBERLY JEFFREY DNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "JEFFREY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "970-254-2470",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Office of Kimberly Jeffrey DNP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Office of Kimberly Jeffrey DNP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.