Organization Active NPI

Jefferson County School District R-1

  • Local Education Agency (LEA)
  • Golden, CO
National Provider Identifier
1689758930
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
JEFFERSON COUNTY SCHOOL DISTRICT R-1
Practice address
1829 Denver West Dr BLDG 27
Golden, CO 80401-3120
Phone
(303) 982-6500
NPI assigned
Oct 24, 2006
Last updated
Mar 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Kathryn Renee Hetzel
Title
Coordinator, School Medicaid Progra
Phone
(303) 982-4502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

1829 Denver West Dr BLDG 27
Golden, CO 80401-3120

Mailing address

1829 Denver West Dr BLDG 27
Golden, CO 80401-3120
Phone (303) 982-6500

Other identifiers 1

IdentifierTypeStateIssuer
04444014MedicaidCO

Other names 2

  • Jeffco Public Schools Other name
  • Jefferson County Schools Other name

National Provider Directory

National Provider Directory

Locations

1829 Denver West Dr
Bldg 27
Golden, CO 80401
Phone (303) 982-6500

809 Quail St
Bldg 1
Lakewood, CO 80215
Phone (303) 982-7227

Practitioners & affiliated clinicians

Practitioners 64

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1689758930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 DENVER WEST DR BLDG 27",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013120",
            "telephone_number": "303-982-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 DENVER WEST DR BLDG 27",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013120",
            "telephone_number": "303-982-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY SCHOOL DISTRICT R-1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "HETZEL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "COORDINATOR, SCHOOL MEDICAID PROGRA",
        "authorized_official_telephone_number": "303-982-4502"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04444014",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffco Public Schools",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jefferson County Schools",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.