Jennifer Lyn Wall Yamazaki, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DR.0056913 Issued in CO

Practice address

10107 Ridgegate Pkwy Ste 360
Lone Tree, CO 80124-5399

Phone

(303) 795-2345

NPI assigned

May 30, 2008

Last updated

Apr 6, 2025By the provider in NPPES

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.wall@aaphc.eclinicaldirectplus.com
• Direct secure messaging: jyamazaki228436@direct.childrenscolorado.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peak Vista Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1730166034
  Medicare reassignment NPD
• Children's Hospital Colorado

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1174282776
  NPD
• Peak Vista Community Health Centers

  dba Behavioral Health at Inside Out Youth Services

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1871347443
  NPD
• Arapahoe Park Pediatrics

  • Pediatrics Physician
  • Littleton, CO
  • NPI 1871640987
  NPD (past)
• Parker Pediatrics and Adolescents PC

  • Pediatrics Physician
  • Parker, CO
  • NPI 1962585315
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1538327143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 N ACADEMY BLVD",
            "address_2": "STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175147",
            "telephone_number": "719-632-5700",
            "fax_number": "719-632-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10107 RIDGEGATE PKWY STE 360",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245399",
            "telephone_number": "303-795-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAZAKI",
        "first_name": "JENNIFER",
        "middle_name": "LYN WALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0056913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Wright, D.O.
• Jieying Wu, DO
• Siyao Wu
• John Soteros Xenos, M.D.
• Y & B Marketing Inc.
• John Russell Yancey, DDS
• Diane Choi Yang, MD, MPH
• Christina Julia Yannetsos, MD
• Claire Yeamans, RN, CNM
• Roger Yee, O.D.

• Pediatrics Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.