Individual provider Active NPI

Jennifer M Whalen, CNM

  • Advanced Practice Midwife
  • Parker, CO
National Provider Identifier
1679659312
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN.0005094-CNM Issued in CO
Practice address
9403 Crown Crest Blvd Ste 200Integ
Parker, CO 80138-8882
Phone
(303) 721-1670
Fax
(303) 721-8117
NPI assigned
Oct 27, 2006
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APN.0005094-CNM CO Primary

Addresses

Primary practice location

9403 Crown Crest Blvd Ste 200Integ
Parker, CO 80138-8882

Mailing address

9403 Crown Crest Blvd Ste 200Integ
Parker, CO 80138-8882
Phone (303) 721-1670

Other practice location 1

3535 S Lafayette St
Suite 100
Englewood, CO 80113-3957
Phone (303) 788-0600

Other identifiers 1

IdentifierTypeStateIssuer
38989514MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090512000659 CO Practitioner - Certified Nurse Midwife (CNM) 6204985740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Nov 21, 2021 Accepting new patients
Portercare Adventist Health System CurrentSince Nov 1, 2021 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Nov 1, 2021 Accepting new patients

Locations

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9403 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 840-8780

9403 Crown Crest Blvd
Ste 200INTEG
Parker, CO 80138
Phone (303) 721-1670

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1679659312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 CROWN CREST BLVD STE 200INTEG",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388882",
            "telephone_number": "303-721-1670",
            "fax_number": "303-721-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 CROWN CREST BLVD STE 200INTEG",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388882",
            "telephone_number": "303-721-1670",
            "fax_number": "303-721-8117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 S Lafayette St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801133957",
            "country_code": "US",
            "telephone_number": "303-788-0600",
            "fax_number": "303-788-0602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0005094-CNM",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38989514",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.