Active NPI
Neva Jean Jarvis, RN, MS, CPNP
- Nurse Practitioner
- Englewood, CO
National Provider Identifier
1659378644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 88626
- Practice address
- 4107B S Federal Blvd
Englewood, CO 80110-4316 - Phone
- (303) 781-1636
- Fax
- (303) 783-9978
- NPI assigned
- Jul 5, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 88626 | CO | Primary |
Addresses
Primary practice location
4107B S Federal Blvd
Englewood, CO 80110-4316
Mailing address
4107 S Federal Blvd
B
Englewood, CO 80110-4316
Phone (303) 797-4260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38787083 | Medicaid | CO |
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
- Certified Pediatric Nurse Practitioner, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88626 | CO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1659378644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 S FEDERAL BLVD",
"address_2": "B",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801104316",
"telephone_number": "303-797-4260",
"fax_number": "303-783-9978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107B S FEDERAL BLVD",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801104316",
"telephone_number": "303-781-1636",
"fax_number": "303-783-9978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "NEVA",
"middle_name": "JEAN",
"credential": "RN, MS, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "88626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38787083",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.