JENNIFER V ABRAHAM (NPI# 1194121657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194121657 |
| Entity Type | Individual |
| Full Name | JENNIFER V ABRAHAM |
| Credential | PA-C |
| Practice Address |
3433 Warren Farm Dr Fort Collins CO 80526-6344 |
| Practice Telephone | 6513191563 |
| Mailing Telephone | 6513191563 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2015-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0004068 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 10237259 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173803 | Jennifer Abraham | Occupational Therapist | 653 Drexel Rd, Paramus, NJ 07652-4907 | 2020-08-02 |
| 1275178436 | Jennifer A Abraham | Social Worker | 135 Rocky Hill Rd, Plymouth, MA 02360-5524 | 2019-11-12 |
| 1295944619 | Jennifer Abraham | Dentist | 193 Green Bay Rd, Thiensville, WI 53092-1603 | 2007-05-22 |
| 1285650259 | Jennifer Jane Abraham | Internal Medicine | 3838 San Dimas St Ste A100, Bakersfield, CA 93301-2286 | 2006-07-14 |
| 1417580739 | Jennifer Lynn Abraham | Peer Specialist | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2454 | 2020-02-14 |
| 1184175127 | Jennifer Abraham | Social Worker | 201 5th St Nw Unit 790, Watford City, ND 58854-7118 | 2016-10-14 |
| 1801235379 | Jennifer Abraham | Pharmacist | 117 E Live Oak Ave, Arcadia, CA 91006-5269 | 2013-06-18 |
| 1063796662 | Jennifer Ann Abraham | Pharmacist | 2755 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5872 | 2011-10-01 |
| 1558650564 | Jennifer Alphonso Abraham | Psychologist | 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205-1832 | 2011-03-30 |
| 1699092320 | Jennifer Abraham | Residential Treatment Facility, Emotionally Disturbed Children | 4601 N I-35, Denton, TX 76207-3419 | 2010-04-20 |
| Street Address |
3433 WARREN FARM DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-6344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154863249 | Zachary A Hitchcock | Physician Assistant | 1107 S Lemay Ave Ste 240, Fort Collins, CO 80524-3959 | 2016-11-07 |
| 1730231770 | Amy L Becker | Physician Assistant | 2315 E Harmony Rd Ste 160, Fort Collins, CO 80528-8620 | 2007-01-18 |
| 1417043837 | Adam Richard Musgrave | Physician Assistant | 2627 Redwing Rd Ste 220, Fort Collins, CO 80526-6331 | 2006-10-04 |
| 1356811160 | Kristin J. Leinhart | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2018-12-05 |
| 1124570601 | Alexandra M Skogen | Physician Assistant | 4674 Snow Mesa Dr, Ste 140, Fort Collins, CO 80528-8615 | 2016-10-31 |
| 1184174807 | David Messinger | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2016-10-05 |
| 1477955870 | Suzette Denise Vandivier | Physician Assistant | 1124 E Elizabeth St, Fort Collins, CO 80524-4052 | 2014-09-17 |
| 1396096525 | Elizabeth A Metz | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2012-09-27 |
| 1912295296 | Amanda Benedict | Physician Assistant | 1200 E Elizabeth St, Fort Collins, CO 80524-4007 | 2011-07-20 |
| 1326232588 | Aaron Thomas Mcgrew | Physician Assistant | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2007-08-30 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
Please comment or provide details below to improve the information on JENNIFER V ABRAHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.