Janae Ila Haycock, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

C-APN.0000260-C-NP Issued in CO

Practice address

9235 Crown Crest Blvd
Suite 100
Parker, CO 80138-8880

Phone

(303) 695-7667

NPI assigned

Mar 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Janae Ila Jacobson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Mainstreet Pediatrics

  • Pediatrics Physician
  • Parker, CO
  • NPI 1720511058
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1801119383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 CROWN CREST BLVD",
            "address_2": "SUITE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388880",
            "telephone_number": "303-695-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 CROWN CREST BLVD",
            "address_2": "SUITE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388880",
            "telephone_number": "303-695-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYCOCK",
        "first_name": "JANAE",
        "middle_name": "ILA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "UT",
            "license": "347403-4405",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "C-APN.0000260-C-NP",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "C-RXN.0000095-C-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANAE",
            "last_name": "JACOBSON",
            "middle_name": "ILA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Hauser, BCBA
• Gina Hauser, NP
• Emily Rose Hawkins, BT
• Lorena Hawley, PA-C
• Alexis Renate Hay, LCSW
• Zachary M Haynes
• HCA Healthone LLC
• Healing Aftermath Counseling
• Healogics Specialty Physicians of Colorado-Professional, LLC
• Healogics Specialty Physicians of Colorado-Professional, LLC

• Pediatric Nurse Practitioner in Parker, CO
• Providers in Parker, 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 Dec 8, 2014; 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.