Jennifer Gaughan, MS, APRN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0182070 Issued in CO

Practice address

3540 S Poplar St Ste 202
Denver, CO 80237-1362

Phone

(720) 442-3615

Fax

(720) 870-3726

NPI assigned

Mar 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1700201589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 S POPLAR ST STE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371362",
            "telephone_number": "720-442-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S POPLAR ST STE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371362",
            "telephone_number": "720-442-3615",
            "fax_number": "720-870-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUGHAN",
        "first_name": "JENNIFER",
        "credential": "MS, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "0182070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77830059",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Gatseos, MA; LPC
• Emily Joan Gatto, RN, IBCLC
• Evan Daniel Gaubatz, D.M.D.
• Deborah Ann Gauchat, PH.D.
• Jennifer Leach Gaudiani, MD
• Anthony M Gaul, D.C.
• Sandra Louise Gauley, RN
• Nicholas Andrew Gault, PHARM.D
• Jaci Anastacia Gauna, RN
• Jennifer Gauntt

• Pediatric Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.