Active NPI
Jill C Carnahan, M.D.
- Family Medicine Physician
- Louisville, CO
National Provider Identifier
1649284811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 49431
- Practice address
- 400 S McCaslin Blvd
Suite 210
Louisville, CO 80027-9731 - Phone
- (303) 993-7910
- Fax
- (303) 993-4674
- NPI assigned
- Jul 27, 2006
- Last updated
- Jun 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036114041 | IL | |
| Family Medicine Physician | 207Q00000X | 49431 | CO | Primary |
Addresses
Primary practice location
400 S McCaslin Blvd
Suite 210
Louisville, CO 80027-9731
Mailing address
400 S McCaslin Blvd
Suite 210
Louisville, CO 80027-9731
Phone (303) 993-7910
Other names 1
- Jill Hodel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 22, 2015 through Apr 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49431 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433635200000",
"number": "1649284811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S MCCASLIN BLVD",
"address_2": "SUITE 210",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800279731",
"telephone_number": "303-993-7910",
"fax_number": "303-993-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S MCCASLIN BLVD",
"address_2": "SUITE 210",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800279731",
"telephone_number": "303-993-7910",
"fax_number": "303-993-4674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNAHAN",
"first_name": "JILL",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2015-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036114041",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "49431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "HODEL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Louisville, CO
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- Dana Lynn Carey, M.S., L.AC, FABORM
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- Lesley Casillas, COTA,L
- Megan Anders Cates, AU.D.
- Cheryl Cavanaugh, MD
- CCC of Northern Colorado PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.