Jennifer Whalen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0003841 Issued in CO

Practice address

6650 Timberline Rd
Highlands Ranch, CO 80130

Phone

(303) 791-1523

NPI assigned

Jan 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1376965061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 TIMBERLINE RD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801305342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 TIMBERLINE RD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80130",
            "telephone_number": "303-791-1523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7955 E Arapahoe Ct Ste 2375",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "80112",
            "country_code": "US",
            "telephone_number": "316-518-9352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7955 E Arapahoe Ct Ste 2375",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "80112",
            "country_code": "US",
            "telephone_number": "316-518-9352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7955 E Arapahoe Ct Ste 2375",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "80112",
            "country_code": "US",
            "telephone_number": "316-518-9352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "0003841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.