JENNIFER LYN WALL (NPI# 1538327143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538327143 |
| Entity Type | Individual |
| Full Name | JENNIFER LYN WALL |
| Credential | M.D. |
| Practice Address |
155 Printers Pkwy Colorado Springs CO 80910-6100 |
| Mailing Address |
3205 N Academy Blvd Ste 130 Colorado Springs CO 80917-5147 |
| Practice Telephone | 7196325700 |
| Mailing Telephone | 7196325700 |
| Mailing Fax Number | 7196327837 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2017-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | DR.0056913 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740798917 | Jennifer N Wall | Registered Nurse | 8015 Shoal Creek Blvd Ste 103, Austin, TX 78757-8051 | 2018-01-22 |
| 1760901037 | Jennifer Wall | Occupational Therapy Assistant | 1310 Nw Deane St, Pullman, WA 99163-3705 | 2017-09-18 |
| 1932586435 | Jennifer Wall | Ophthalmology | 1109 Us Highway 19, Holiday, FL 34691-5638 | 2015-05-04 |
| 1699885095 | Jennifer Lauren Wall | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2006-08-30 |
| 1689699027 | Jennifer B Wall | Physician Assistant | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2006-07-13 |
| Street Address |
155 PRINTERS PKWY |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841277902 | Lori L Downey | Physician Assistant | 155 Printers Pkwy, Colorado Springs, CO 80910-6100 | 2005-12-29 |
| 1003383555 | Stephen Joseph Chappell | Physical Therapist | 155 Printers Pkwy, Colorado Springs, CO 80910-6100 | 2018-11-01 |
| 1083167878 | Pam Rodriguez | Massage Therapist | 155 Printers Pkwy, Colorado Springs, CO 80910-6100 | 2016-07-27 |
| 1033597703 | Cassie Iliff | Audiologist | 155 Printers Pkwy, #240, Colorado Springs, CO 80910-6100 | 2015-05-13 |
| 1417380320 | Matthew Ryan Weiss | Physical Therapist | 155 Printers Pkwy, #125, Colorado Springs, CO 80910-6100 | 2013-08-14 |
| 1841549714 | Andrea Jean Savaglio Sauve | Speech-Language Pathologist | 155 Printers Pkwy, Colorado Springs, CO 80910 | 2012-09-06 |
| 1679897086 | Robin T Leeman | Physician Assistant | 155 Printers Pkwy, Suite 230, Colorado Springs, CO 80910-6100 | 2010-03-15 |
| 1154579555 | Michelle Renee Root | Physician Assistant | 155 Printers Pkwy, Colorado Springs, CO 80910-6100 | 2008-08-28 |
| 1275716276 | Betty Ann Sparks | Clinical Nurse Specialist | 155 Printers Pkwy, Suite 250, Colorado Springs, CO 80910-6100 | 2007-12-12 |
| 1962693994 | Trudy Michelle Skinner | Physical Therapist | 155 Printers Pkwy, Suite 150, Colorado Springs, CO 80910-6100 | 2007-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891815 | Optumcare Colorado Springs, LLC | Pediatrics | 8890 N Union Blvd Ste 220, Colorado Springs, CO 80920-2701 | 2020-01-27 |
| 1467985390 | Jennifer Lynne Anderson | Pediatrics | 782 Mcchord St, Colorado Springs, CO 80916-5299 | 2017-04-07 |
| 1316309891 | Dr. Harry J.anderson,jr.,m.d. | Pediatrics | 190 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3718 | 2016-03-24 |
| 1245623693 | Jamie Hug | Pediatrics | 4190 E. Woodmen Rd, Suite 100, Colorado Springs, CO 80920 | 2015-03-10 |
| 1629414016 | Sean Michael Bradley | Pediatrics | 402 N Tejon St # 200, Colorado Springs, CO 80903-1142 | 2013-05-13 |
| 1912340738 | Erin Janel Meyer | Pediatrics | 4090 Briargate Pkwy # 106, Colorado Springs, CO 80920-7815 | 2013-04-10 |
| 1023303880 | Natalie Connolly | Pediatrics | 4150 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8042 | 2011-06-09 |
| 1194956292 | Margot A. Williams, D.o., P.C. | Pediatrics | 1465 Kelly Johnson Boulevard, Suite 300, Colorado Springs, CO 80920-3947 | 2009-08-06 |
| 1831326495 | Viral Kothari | Pediatrics | 6071 E Woodmen Rd Ste 225, Colorado Springs, CO 80923 | 2009-06-22 |
| 1609071877 | Anna E Lawrence | Pediatrics | 5575 Tech Center Dr Ste 106, Colorado Springs, CO 80919-2349 | 2007-06-18 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
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| 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.