Jordan Draper

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0007434 Issued in CO

Practice address

850 E Harvard Ave Ste 505
Denver, CO 80210-5078

Phone

(303) 744-1961

NPI assigned

Apr 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Practice roles

Locations

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.

• Associates of Otolaryngology, P.C.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Denver, CO
  • NPI 1518184399

  CO

  Medicare reassignment
• Associates of Otolaryngology, P.C.

  • Specialist
  • Castle Rock, CO
  • NPI 1144816679
  NPD

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1730769878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 E. 17TH PLACE",
            "address_2": "ROOM E7019 MAIL STOP F543",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "303-724-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE STE 505",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105078",
            "telephone_number": "303-744-1961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1752 S Sherman St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802103115",
            "country_code": "US",
            "telephone_number": "303-585-0135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Drake
• Peter Drake, MD
• Mandesah Imani Drammeh, MA CAC III
• Emily A Dranginis
• David Kendall Draper
• Erin Frances Drasler, M.D.
• Drawing Boundaries- Therapeutic Artistry, a Professional LLC
• Joshua Oakley Drayer
• Dream Center Behavioral Health LLC
• Dream House LLC

• All providers in Denver, CO
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.