Individual provider Active NPI

Jacquelyn Diamond

  • Specialist
  • Greenwood Village, CO
National Provider Identifier
1912453424
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
VET.0011954 Issued in CO
Practice address
5910 S University Blvd Ste B4
Greenwood Village, CO 80121-2800
Phone
(720) 500-5878
NPI assigned
Aug 25, 2016
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X VET009427 GA
Student in an Organized Health Care Education/Training Program 390200000X VET009427 GA
Student in an Organized Health Care Education/Training Program 390200000X VM12720 FL
Student in an Organized Health Care Education/Training Program 390200000X 20420 CA
Specialist 174400000X VET.0011954 CO Primary

Addresses

Primary practice location

5910 S University Blvd Ste B4
Greenwood Village, CO 80121-2800

Mailing address

5910 S University Blvd Ste B4
Greenwood Village, CO 80121-2800
Phone (720) 500-5878

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VET.0011954COMDSpecialist
VM12720FLMDStudent in an Organized Health Care Education/Training Program
VET009427GAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1912453424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 S UNIVERSITY BLVD STE B4",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801212800",
            "telephone_number": "720-500-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 S UNIVERSITY BLVD STE B4",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801212800",
            "telephone_number": "720-500-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "JACQUELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "VET009427",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "VET009427",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "VM12720",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "20420",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "VET.0011954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.