Individual provider Active NPI

Jessica E Vonachen, RN, FNP-C, APN

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1932871423
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0997007 Issued in CO
Practice address
6910 Nettlewood PL
Colorado Springs, CO 80918-4640
Phone
(217) 381-9303
NPI assigned
Oct 2, 2021
Last updated
Nov 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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 APN.0997007 CO Primary
Registered Nurse 163W00000X 1676251 CO

Addresses

Primary practice location

6910 Nettlewood PL
Colorado Springs, CO 80918-4640

Mailing address

6910 Nettlewood PL
Colorado Springs, CO 80918-4640
Phone (217) 381-9303

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
I20230403002660 CO Order and Referring Only - Nurse Practitioner 4284009317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1676251COMDRegistered Nurse
APN.0997007COMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1633132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1932871423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 NETTLEWOOD PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184640",
            "telephone_number": "217-381-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 NETTLEWOOD PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184640",
            "telephone_number": "217-381-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONACHEN",
        "first_name": "JESSICA",
        "middle_name": "E",
        "credential": "RN, FNP-C, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-02",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997007",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1676251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.