JENNIFER PROCTER KAGAN (NPI# 1194209379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194209379 |
| Entity Type | Individual |
| Full Name | JENNIFER PROCTER KAGAN |
| Practice Address |
360 Peak One Drive Suite #100 Frisco CO 80443 |
| Mailing Address |
Po Box 4337 Frisco CO 80443-4337 |
| Practice Telephone | 9706684040 |
| Practice Fax Number | 9706686699 |
| Mailing Telephone | 9706684040 |
| Mailing Fax Number | 9706686699 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0994111 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
360 PEAK ONE DRIVE SUITE #100 |
| City | FRISCO |
| State | CO |
| Zip Code | 80443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235135385 | Javier Gutierrez | Obstetrics & Gynecology | 360 Peak One Drive, Ste 260, Frisco, CO 80443 | 2005-06-23 |
| 1356948475 | Allergy, Asthma & Immunology of The Rockies, PC | Allergy & Immunology | 360 Peak One Drive, Suite #300, Frisco, CO 80443 | 2020-10-01 |
| 1033767942 | Olivia Lent | Physical Therapist | 360 Peak One Drive, Suite 190, Frisco, CO 80443 | 2019-09-04 |
| 1588211791 | Vail Clinic, Inc. | Clinic/Center | 360 Peak One Drive, Suite 370, Frisco, CO 80443 | 2019-08-22 |
| 1245892033 | Colleen Mintz | Nurse Practitioner | 360 Peak One Drive, Suite 180, Frisco, CO 80443-1303 | 2019-07-02 |
| 1881251155 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 360 Peak One Drive, Suite 110, Frisco, CO 80443 | 2019-05-22 |
| 1962069237 | Colorado West Regional Mental Health, Inc. | Community/Behavioral Health | 360 Peak One Drive, Suite 130, Frisco, CO 80443 | 2019-05-22 |
| 1558928820 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 360 Peak One Drive, Suite 140, Frisco, CO 80443 | 2019-05-22 |
| 1518524958 | Marshall Alexander Kowal | Counselor | 360 Peak One Drive, Ste.110, Frisco, CO 80443 | 2019-05-21 |
| 1194292714 | Kayle Hisey | Physician Assistant | 360 Peak One Drive, Suite 180, Frisco, CO 80443 | 2018-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254215 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 340 Peak Oned Drive, Frisco, CO 80443 | 2020-10-30 |
| 1073139267 | Colorado Mountain Medical, LLC | Internal Medicine | 323 West Main Street, Suite 101, Frisco, CO 80443 | 2020-06-23 |
| 1720611882 | Michael Shanser | Counselor | 101 West Main Suite 301, Frisco, CO 80443 | 2020-02-18 |
| 1407499205 | Kerri Hudgins | Dental Hygienist | 360 Peak One Drive, Suite 325, # 4337, Frisco, CO 80443 | 2019-10-24 |
| 1134762123 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Peak One Blvd, Ste 390, Frisco, CO 80443 | 2019-10-22 |
| 1881241172 | Shannon Maser | Chiropractor | 117 S. 6th Ave, Unit 2, Frisco, CO 80443 | 2019-08-21 |
| 1508421785 | Juli M Joyce | Preventive Medicine | 360 Peak One Dr #230, Frisco, CO 80443 | 2019-05-03 |
| 1194288449 | Sara Christian Broughton | Peer Specialist | 360 Peak One Dr Ste 130, Frisco, CO 80443 | 2019-04-12 |
| 1093275299 | Atis Spuris | Peer Specialist | 360 Peak One Dr Ste 140, Frisco, CO 80443 | 2019-03-22 |
| 1427520469 | Claire Melissa Mann | Nurse Practitioner | 984 Ten Mile Dr., Suite 3, Frisco, CO 80443 | 2018-12-31 |
| Find all providers in zip 80443 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980363 | Carla Larue Mosby | Nurse Practitioner | 10150 Bowling Green Dr, Frisco, TX 75035-6984 | 2020-10-23 |
| 1932707783 | Gabrielle Black | Nurse Practitioner | 4664 Driftwood Dr, Frisco, TX 75034-5132 | 2020-10-14 |
| 1699386888 | Biraj B Shah | Nurse Practitioner | 14611 Snowshill Dr, Frisco, TX 75035-7233 | 2020-08-12 |
| 1023637303 | Sandra Igbinehi Abusomwan | Nurse Practitioner | 12436 Daisy Ln, Frisco, TX 75035-0716 | 2020-04-16 |
| 1679106272 | Laarni Catudan Mendoza | Nurse Practitioner | 7829 Marine Blue Dr, Frisco, TX 75035-3107 | 2020-02-21 |
| 1457984890 | Bhavishaben Patel | Nurse Practitioner | 2811 Internet Blvd, Frisco, TX 75034-2029 | 2020-02-13 |
| 1336795087 | Waymaker Health Services LLC | Nurse Practitioner | 2831 Eldorado Pkwy # 103-322, Frisco, TX 75033-7438 | 2019-08-16 |
| 1285286492 | Blen Daniel | Nurse Practitioner | 11676 Chaucer Dr, Frisco, TX 75035-8637 | 2019-07-09 |
| 1669038287 | Meagan Marie Woods | Nurse Practitioner | 5355 Dallas Pkwy Ste 620, Frisco, TX 75034-7973 | 2019-05-20 |
| 1033682844 | Christine Mayer | Nurse Practitioner | 12828 Eldorado Pkwy, Frisco, TX 75035-5883 | 2019-01-03 |
| Find all providers in FRISCO | ||||
Please comment or provide details below to improve the information on JENNIFER PROCTER KAGAN.
| 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.