Active NPI
Donna Jean Nelligan, PA
- Physician Assistant
- Littleton, CO
National Provider Identifier
1679633531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 368
- Practice address
- 191 E Orchard Rd
102NE
Littleton, CO 80121-8000 - Phone
- (303) 730-1313
- Fax
- (303) 730-2090
- NPI assigned
- Dec 11, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 368 | CO | Primary |
Addresses
Primary practice location
191 E Orchard Rd
102NE
Littleton, CO 80121-8000
Mailing address
191 E Orchard Rd
102NE
Littleton, CO 80121-8000
Phone (303) 730-1313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07002684 | 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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 368 | CO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donna Jean Nelligan | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Littleton, CO
- NPI 1538773296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679633531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 E ORCHARD RD",
"address_2": "102NE",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801218000",
"telephone_number": "303-730-1313",
"fax_number": "303-730-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 E ORCHARD RD",
"address_2": "102NE",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801218000",
"telephone_number": "303-730-1313",
"fax_number": "303-730-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELLIGAN",
"first_name": "DONNA",
"middle_name": "JEAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07002684",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.