Individual provider Active NPI

Jennifer E Voag, M.S,, P.A.-C

  • Physician Assistant
  • Thornton, CO
National Provider Identifier
1811290307
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1867 Issued in CO
Practice address
9351 Grant St
Ste 100
Thornton, CO 80229-4358
Phone
(303) 280-3893
Fax
(303) 280-3908
NPI assigned
Dec 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1867 CO Primary

Addresses

Primary practice location

9351 Grant St
Ste 100
Thornton, CO 80229-4358

Mailing address

1390 S Potomac St
Ste 128
Aurora, CO 80012-6165
Phone (303) 341-4785

Other names 1

  • Jennifer E Haberkorn Former name

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)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
1867COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care of Colorado, PC Physician Assistant PastSince Sep 1, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1811290307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST",
            "address_2": "STE 128",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800126165",
            "telephone_number": "303-341-4785",
            "fax_number": "303-341-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 GRANT ST",
            "address_2": "STE 100",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294358",
            "telephone_number": "303-280-3893",
            "fax_number": "303-280-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOAG",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "M.S,, P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HABERKORN",
            "middle_name": "E",
            "credential": "M.S., P.A.-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.