Jennifer Leigh Jackson

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DR.0064480 Issued in CO

Practice address

10901 W Toller Dr Ste 101
Littleton, CO 80127-6312

Phone

(303) 973-3200

Fax

(303) 904-8510

NPI assigned

Mar 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jjackson96757@direct.childrenscolorado.org

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.

• Children'S Hospital Colorado

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1174282776
  NPD
• Greenwood Pediatrics PC

  • Primary Care Clinic/Center
  • Centennial, CO
  • NPI 1619013448
  NPD (past)
• Greenwood Pediatrics PC

  • Primary Care Clinic/Center
  • Littleton, CO
  • NPI 1831792233
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1841721701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 W TOLLER DR STE 101",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276312",
            "telephone_number": "303-973-3200",
            "fax_number": "303-904-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 W TOLLER DR STE 101",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276312",
            "telephone_number": "303-973-3200",
            "fax_number": "303-904-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0064480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Jackson, PA
• Brianna Elise Jackson, NP
• Carissa Jackson, DPT
• Christopher M Jackson, PA-C
• Janna Jackson
• Owen Mejeur Jackson, DPT
• Alysia Jacobs, LCSW
• Jared Jacobs, MS, LPC
• Michael Lee Jacobs, ED.D.
• Renee Kathleen Jacobs, O.D.

• Pediatrics Physician in Littleton, CO
• Providers in Littleton, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.