Organization Active NPI

Pine and Petal Pediatrics, LLC

Doing business as Pine & Petal Pediatrics

  • Pediatrics Physician
  • Englewood, CO
National Provider Identifier
1477459824
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PINE AND PETAL PEDIATRICS, LLC
Doing business as
Pine & Petal Pediatrics
Practice address
12770 Lynnfield Dr Ste 110
Englewood, CO 80112-4128
Phone
(720) 870-0280
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Jennifer Mulhausen, MD
Title
Member
Phone
(720) 837-8162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

12770 Lynnfield Dr Ste 110
Englewood, CO 80112-4128

Mailing address

12770 Lynnfield Dr Ste 110
Englewood, CO 80112-4128

Other names 1

  • Pine & Petal Pediatrics Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1477459824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12770 LYNNFIELD DR STE 110",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12770 LYNNFIELD DR STE 110",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124128",
            "telephone_number": "720-870-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE AND PETAL PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "MULHAUSEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "720-837-8162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine & Petal Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.