Jennifer Vierthaler, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2658 Issued in CO

Practice address

8301 E Prentice Ave Ste 125
Greenwood Village, CO 80111-2989

Phone

(303) 771-3939

Fax

(303) 771-4949

NPI assigned

Dec 13, 2010

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• DTC Family Health and Walk-in L L C

  • Family Medicine Physician
  • Greenwood Village, CO
  • NPI 1609817444
  Medicare reassignment

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1730482811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 E PRENTICE AVE STE 125",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112989",
            "telephone_number": "303-771-3939",
            "fax_number": "303-771-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 E PRENTICE AVE STE 125",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112989",
            "telephone_number": "303-771-3939",
            "fax_number": "303-771-4949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 E Belleview Ave Ste 100E",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112804",
            "country_code": "US",
            "telephone_number": "303-771-3939",
            "fax_number": "303-771-4949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8200 E Belleview Ave Ste 100E",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112804",
            "country_code": "US",
            "telephone_number": "303-771-3939",
            "fax_number": "303-771-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIERTHALER",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.