Active NPI
Jennifer Janke, PA-C
- Physician Assistant
- Denver, CO
National Provider Identifier
1912277351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 555 17TH St Ste 400
Denver, CO 80202-3901 - Phone
- (505) 604-6138
- NPI assigned
- Jan 3, 2012
- Last updated
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
555 17TH St Ste 400
Denver, CO 80202-3901
Mailing address
9848 W Arizona Ave
Lakewood, CO 80232-5120
Phone (505) 604-6138
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21865 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Reproductive Medicine and Wellness, LLC | Past | Accepting new patients | |
| Fahimeh Sasan,D.O., P.C | Past | Accepting new patients | |
| Peach State Medical Practice, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Reproductive Endocrinology Physician
- Swansea, IL
- NPI 1861857013
-
dba Kindbody of CA Medical Practice
- Reproductive Endocrinology Physician
- San Francisco, CA
- NPI 1891355863
-
dba Kindbody of GA Medical Practice, PC
- Reproductive Endocrinology Physician
- Atlanta, GA
- NPI 1891390084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1912277351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9848 W ARIZONA AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802325120",
"telephone_number": "505-604-6138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 17TH ST STE 400",
"city": "DENVER",
"state": "CO",
"postal_code": "802023901",
"telephone_number": "505-604-6138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANKE",
"first_name": "JENNIFER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-03",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.