Individual provider Active NPI

Amanda Jaikel, R.N., N.P.

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1821410366
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0990960 Issued in CO
Practice address
10065 E Harvard Ave Ste 400
Denver, CO 80231-5943
Phone
(303) 614-1400
NPI assigned
Jan 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1623577 CO
Family Nurse Practitioner 363LF0000X 0990960 CO Primary

Addresses

Primary practice location

10065 E Harvard Ave Ste 400
Denver, CO 80231-5943

Mailing address

600 W County Line Rd Apt 12-001
Highlands Ranch, CO 80129-6521
Phone (228) 355-0187

Other identifiers 2

IdentifierTypeStateIssuer
73879738MedicaidCO
024613OtherCOKAISER COMMERCIAL NUMBER

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1623577COMDRegistered Nurse
0990960COMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ajaikel@direct.mhg.com

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1821410366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W COUNTY LINE RD APT 12-001",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296521",
            "telephone_number": "228-355-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10065 E HARVARD AVE STE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315943",
            "telephone_number": "303-614-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIKEL",
        "first_name": "AMANDA",
        "credential": "R.N., N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1623577",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0990960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73879738",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "024613",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.