Individual provider Active NPI

Jill Satoko Nakayama, FNP

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1831829332
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-APN.0004206-C-NP Issued in CO
Practice address
3100 S Sheridan Blvd
Denver, CO 80227-5541
Phone
(303) 742-3179
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14120644052 KS
Family Nurse Practitioner 363LF0000X C-APN.0004206-C-NP CO Primary

Addresses

Primary practice location

3100 S Sheridan Blvd
Denver, CO 80227-5541

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3100

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
I20220629001560 CO Practitioner - Nurse Practitioner 6103206743 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0004206-C-NPCOMDFamily Nurse Practitioner
14120644052KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Colorado LLC Family CurrentSince Jun 21, 2022 Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince Jul 20, 2022 Accepting new patients

Locations

3100 S Sheridan Blvd
Denver, CO 80227
Phone (303) 742-3179

6000 S Holly St
Greenwood Village, CO 80111
Phone (720) 200-6920

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Organizations & group practices 2

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1831829332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S SHERIDAN BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802275541",
            "telephone_number": "303-742-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAYAMA",
        "first_name": "JILL",
        "middle_name": "SATOKO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "14120644052",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0004206-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.