Active NPI
Jenny Demeaux, NP
- Women's Health Nurse Practitioner
- Boulder, CO
National Provider Identifier
1689738056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 59201
- Practice address
- 1743 Walnut St Ste 3
Boulder, CO 80302-5584 - Phone
- (303) 449-3777
- Fax
- (303) 449-3775
- NPI assigned
- Dec 20, 2006
- Last updated
- Jul 2, 2020
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 59201 | CO | Primary |
Addresses
Primary practice location
1743 Walnut St Ste 3
Boulder, CO 80302-5584
Mailing address
7829 W 38TH Ave
Wheat Ridge, CO 80033-6109
Phone (303) 399-6126
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59201 | CO | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1689738056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7829 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336109",
"telephone_number": "303-399-6126",
"fax_number": "720-612-7368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1743 WALNUT ST STE 3",
"city": "BOULDER",
"state": "CO",
"postal_code": "803025584",
"telephone_number": "303-449-3777",
"fax_number": "303-449-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMEAUX",
"first_name": "JENNY",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CO",
"license": "59201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.