Colleen Jehning Donovan, N.P.

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

349815 Issued in CA

Practice address

2051 Marengo St.
Nicu
Los Angeles, CA 90033

Phone

(323) 409-6240

NPI assigned

Dec 23, 2013

Last updated

Dec 31, 2013By 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

Other names 1

• Colleen Theresa Jehning Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1598186371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N. STATE STREET",
            "address_2": "CLINIC TOWER RM. 2B300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-409-6240",
            "fax_number": "323-441-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MARENGO ST.",
            "address_2": "NICU",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-409-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "COLLEEN",
        "middle_name": "JEHNING",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "CA",
            "license": "349815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "JEHNING",
            "middle_name": "THERESA",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Darlin Donofrio, M.D.
• Daniel Donoho, M.D.
• Sean Donohue, MD
• Victoria Rachel Donohue
• Nadine Donosa
• Eliza Ann Donovan
• Gita Donovan
• John Arthur Donovan, M.D.
• Linsey R Donovan
• Sarah Hayward Donovan, OTR/L

• Critical Care Neonatal Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Critical Care Neonatal Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.