Active NPI
Jane Boldridge-Gross, LSW
- Social Worker
- Highlands Ranch, CO
National Provider Identifier
1699954388
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Sep 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1106
- Practice address
- 9450 Yale LN
Highlands Ranch, CO 80130-3724 - Phone
- (303) 868-3274
- NPI assigned
- Oct 30, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 1106 | CO | Primary |
Addresses
Primary practice location
9450 Yale LN
Highlands Ranch, CO 80130-3724
Mailing address
9450 Yale LN
Highlands Ranch, CO 80130-3724
Phone (303) 868-3274
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1106 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1699954388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9450 YALE LN",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801303724",
"telephone_number": "303-868-3274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9450 YALE LN",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801303724",
"telephone_number": "303-868-3274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLDRIDGE-GROSS",
"first_name": "JANE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-30",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "1106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.