NPIMap

Individual provider Active NPI

Jennifer Daly, D.O.

  • Family Medicine Physician
  • Castle Rock, CO
National Provider Identifier
1851656623
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0059316 Issued in CO
Practice address
2352 Meadows Blvd Ste 300
Castle Rock, CO 80109-8419
Phone
(720) 455-3750
Fax
(720) 455-3751
NPI assigned
Jul 9, 2012
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS017738 PA
Family Medicine Physician 207Q00000X DR.0059316 CO Primary

Addresses

Primary practice location

2352 Meadows Blvd Ste 300
Castle Rock, CO 80109-8419

Mailing address

2352 Meadows Blvd Ste 300
Castle Rock, CO 80109-8419
Phone (720) 455-3750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180801002857 CO Practitioner - Family Practice 8022255728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

250 Max Dr
Suite 102
Castle Pines, CO 80108-9518
Phone (303) 649-3350

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0059316COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Sep 1, 2018 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Sep 1, 2018 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

250 Max Dr
Ste 102
Castle Pines, CO 80108
Phone (303) 649-3350

2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961

2535 S Downing St
Denver, CO 80210
Phone (303) 778-5616

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Interoperability endpoints

  • Direct secure messaging: jdaly2556635@adventhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1851656623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 MEADOWS BLVD STE 300",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098419",
            "telephone_number": "720-455-3750",
            "fax_number": "720-455-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 MEADOWS BLVD STE 300",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098419",
            "telephone_number": "720-455-3750",
            "fax_number": "720-455-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017738",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0059316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.