Active NPI
Jordan Levy
- Family Nurse Practitioner
- Vail, CO
National Provider Identifier
1659058097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1000089-NP
- Practice address
- 180 S Frontage Rd W
Vail, CO 81657-5038 - Phone
- (970) 476-2451
- NPI assigned
- Jun 28, 2023
- Sex
- Male
- 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 Nurse Practitioner | 363LF0000X | 1000089-NP | CO | Primary |
| Medical-Surgical Registered Nurse | 163WM0705X | 1665218 | CO |
Addresses
Primary practice location
180 S Frontage Rd W
Vail, CO 81657-5038
Mailing address
PO Box 6383
Eagle, CO 81631-0016
Phone (720) 236-7252
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1665218 | CO | MD | Medical-Surgical Registered Nurse |
| 1000089-NP | CO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1659058097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6383",
"city": "EAGLE",
"state": "CO",
"postal_code": "816310016",
"telephone_number": "720-236-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 S FRONTAGE RD W",
"city": "VAIL",
"state": "CO",
"postal_code": "816575038",
"telephone_number": "970-476-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-28",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "1000089-NP",
"primary": true
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "CO",
"license": "1665218",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.