Individual provider Active NPI

Jessica Lynn Dreiling, NP-C

  • Family Health Clinical Nurse Specialist
  • Littleton, CO
National Provider Identifier
1538472832
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
RN-174570 Issued in CO
Practice address
7735 W Long Dr Unit 11
Suite 105
Littleton, CO 80123-1262
Phone
(303) 904-0331
Fax
(303) 948-3153
NPI assigned
Jul 15, 2010
Last updated
Sep 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X RN-174570 CO Primary

Addresses

Primary practice location

7735 W Long Dr Unit 11
Suite 105
Littleton, CO 80123-1262

Mailing address

7735 W Long Dr Unit 11
Suite 105
Littleton, CO 80123-1262
Phone (303) 904-0331

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710001187 CO Practitioner - Nurse Practitioner 2062724669 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-174570COMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Health Medical Clinic Inc CurrentSince Oct 26, 2016 Accepting new patients

Locations

7735 W Long Dr
Unit 11
Littleton, CO 80123
Phone (303) 904-0331

7735 W Long Dr
Unit 12
Littleton, CO 80123
Phone (303) 904-0331

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1538472832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7735 W LONG DR UNIT 11",
            "address_2": "SUITE 105",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231262",
            "telephone_number": "303-904-0331",
            "fax_number": "303-948-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7735 W LONG DR UNIT 11",
            "address_2": "SUITE 105",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231262",
            "telephone_number": "303-904-0331",
            "fax_number": "303-948-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREILING",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CO",
            "license": "RN-174570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.