Individual provider Active NPI

Jamie Xiong, APRN, RN

  • Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1831599000
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0999627-NP Issued in CO
Practice address
12596 W Bayaud Ave Ste 350
Lakewood, CO 80228-2019
Phone
(303) 468-7246
NPI assigned
Aug 25, 2014
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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 RN1616905 CO
Nurse Practitioner 363L00000X APN0999627-NP CO Primary

Addresses

Primary practice location

12596 W Bayaud Ave Ste 350
Lakewood, CO 80228-2019

Mailing address

2696 S Colorado Blvd Ste 240
Denver, CO 80222-5948
Phone (303) 468-7246

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240716002083 CO Practitioner - Nurse Practitioner 0345785242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Pain Practice PLLCGroup PAC ID 6709161292, 15 clinicians

Practice addresses (Care Compare)

2696 S Colorado Blvd
Suite 240
Denver, CO 80222-5948
Phone (303) 468-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1616905COMDRegistered Nurse
APN0999627-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Pain Practice, PLLC Clinic/Center Current Accepting new patients
Colorado Pain Practice, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Colorado Pain Practice, LLC CurrentSince Jun 1, 2024 Accepting new patients
Colorado Pain Practice, PLLC Past Accepting new patients
Colorado Pain Care, LLC Past Accepting new patients

Locations

4348 Woodlands Blvd
Ste 100
Castle Rock, CO 80104
Phone (303) 468-7246

2696 S Colorado Blvd
Ste 240
Denver, CO 80222
Phone (210) 213-4444

12596 W Bayaud Ave
Ste 350
Lakewood, CO 80228
Phone (303) 468-7246

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1831599000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 S COLORADO BLVD STE 240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225948",
            "telephone_number": "303-468-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12596 W BAYAUD AVE STE 350",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282019",
            "telephone_number": "303-468-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIONG",
        "first_name": "JAMIE",
        "credential": "APRN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN1616905",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN0999627-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.