Jennifer Nackerud

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-43044 Issued in CO

Practice address

9197 W 6TH Ave Ste 1000
Lakewood, CO 80215-5109

Phone

(303) 233-3122

NPI assigned

May 22, 2019

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)

Not enrolled

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1619534823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 W 119TH AVE UNIT 101",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9197 W 6TH AVE STE 1000",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155109",
            "telephone_number": "303-233-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACKERUD",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-20-43044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Myers, L.C.S.W.
• Myeyedr Optometry of Colorado PC (MyEyeDr.)
• Kayla Myles
• Andrea Katherine Mytinger, DO
• Emily L Nachtrieb, LCSW
• James Joseph Nader, M.A.
• Aaron Scott Nadon, M.D.
• John Hamid Naheedy, M.D
• Samantha L Naidu, PA-C
• Nalin J Mehta MD PC (The Colorado Retina Center)

• Behavior Analyst in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.