Active NPI
Jennifer N Tiehen, M.D.
- Pediatrics Physician
- Centennial, CO
National Provider Identifier
1649412297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 50742
- Practice address
- 9094 E. Mineral Avenue
Suite 120
Centennial, CO 80112 - Phone
- (303) 779-5437
- Fax
- (303) 689-9628
- NPI assigned
- Mar 28, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 50742 | CO | Primary |
Addresses
Primary practice location
9094 E. Mineral Avenue
Suite 120
Centennial, CO 80112
Mailing address
9094 E. Mineral Avenue
Suite 120
Centennial, CO 80112
Phone (303) 779-5437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50742 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Colorado | Current | Accepting new patients | |
| Pediatrics 5280 PC | Pediatrics | Past | Accepting new patients |
| Pediatrics 5280, PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- jtiehen34074@direct.childrenscolorado.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Pediatrics Physician
- Castle Rock, CO
- NPI 1134545395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1649412297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9094 E. MINERAL AVENUE",
"address_2": "SUITE 120",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "80112",
"telephone_number": "303-779-5437",
"fax_number": "303-689-9628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9094 E. MINERAL AVENUE",
"address_2": "SUITE 120",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "80112",
"telephone_number": "303-779-5437",
"fax_number": "303-689-9628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIEHEN",
"first_name": "JENNIFER",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-28",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "50742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.