Jennifer Diane Novotny, FNP-BC, FNP-C, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0993283-NP Issued in CO

Practice address

3333 S Bannock St Ste 400
Englewood, CO 80110-2436

Phone

(303) 883-1417

Fax

(303) 500-6966

NPI assigned

Aug 14, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Community Supported Family Medicine, LLC

  • Primary Care Clinic/Center
  • Englewood, CO
  • NPI 1477182665
  NPD Authorized official

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1669998464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S BANNOCK ST STE 400",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102436",
            "telephone_number": "303-883-1417",
            "fax_number": "303-500-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S BANNOCK ST STE 400",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102436",
            "telephone_number": "303-883-1417",
            "fax_number": "303-500-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, FNP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993283-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477182665",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oxana V. Norvell
• Alessa Notgrass, PHARM D
• Novamed Surgery Center of Denver LLC
• Novamed Surgery Center of Denver LLC
• Mark R Novelen, DDS
• Rose-Delille Nozea, RN.BSN.MHM
• Rosa Erika Nunez, CNA
• Valerie Marie Nunez
• Hailey Nuss
• Martin M. O'Bryan

• Family Nurse Practitioner in Englewood, CO
• Providers in Englewood, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.