MRS. JENNIFER L MCCARTHY (NPI# 1548337249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548337249 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER L MCCARTHY |
| Credential | P.A.-C |
| Practice Address |
34 Hybrook Rd South Divide CO 80814 |
| Mailing Address |
3205 N Academy Blvd Suite 130 Colorado Springs CO 80917-5101 |
| Practice Telephone | 7196325700 |
| Practice Fax Number | 7193447817 |
| Mailing Telephone | 7196325700 |
| Mailing Fax Number | 7193447837 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2997 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA9103485 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 46681230 | 05 | |
| CO | MEDICARE NUMBER | COA101228 | 01 |
| FL | MEDICARE | 57561Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528602927 | Jennifer Mccarthy | Dietitian, Registered | 2457 Frankford Ave Apt C, Philadelphia, PA 19125-1661 | 2019-10-30 |
| 1700391521 | Jennifer Sheridan Mccarthy | Nurse Practitioner | 703 Greenwich Ct, Grovetown, GA 30813-5882 | 2017-12-04 |
| 1740684521 | Jennifer Mccarthy | Mechanotherapist | 3 Monroe Parkway, Suite U, Lake Oswego, OR 97035 | 2014-10-22 |
| 1326454778 | Jennifer Nicole Mccarthy | Behavioral Analyst | 1801 W Warner Ave Ste 101, Chicago, IL 60613 | 2014-07-07 |
| 1114240488 | Jennifer M Mccarthy | Licensed Practical Nurse | 180 Mount Sinai Ave, Mount Sinai, NY 11766-2314 | 2010-03-01 |
| 1215267133 | Jennifer A Mccarthy | Counselor | 686 Massachusetts Ave, Boston, MA 02118-4027 | 2009-12-29 |
| 1609942457 | Jennifer P Mccarthy | Social Worker | 47 Prospect St, West Boylston, MA 01583-1301 | 2006-11-24 |
| 1750461844 | Jennifer Mccarthy | Marriage & Family Therapist | 3344 4th Ave, Suite 200, San Diego, CA 92103-5704 | 2006-10-16 |
| 1710973227 | Jennifer Fox Mccarthy | Dentist | 7916 Pebble Beach Dr Ste 101, Citrus Heights, CA 95610-7790 | 2005-09-21 |
| 1760041222 | Jennifer Marie Mccarthy | Nurse Practitioner | 2740 S Jones Blvd, Las Vegas, NV 89146 | 2019-06-10 |
| Street Address |
34 HYBROOK RD SOUTH |
| City | DIVIDE |
| State | CO |
| Zip Code | 80814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609178524 | Peak Vista Community Health Centers | Clinic/Center | 34 Hybrook Rd South, Divide, CO 80814 | 2010-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508372152 | Lori Ptak | Registered Nurse | 11115 W Highway 24, Unit 2c, Divide, CO 80814 | 2017-12-19 |
| 1598140741 | Stacey Knapp | Dental Hygienist | 34 Hybrook Road, Divide, CO 80814 | 2015-07-29 |
| 1710287925 | Sunrise Medical Alerts LLC | Emergency Response System Companies | 101 Stephanie Pl, Divide, CO 80814 | 2010-10-22 |
| 1417191933 | Teller County Public Health | Public Health or Welfare | 11115 W. Hwy. 24, Unit 2c, Divide, CO 80814 | 2009-04-28 |
| 1265677702 | Jody R Barger | Massage Therapist | 64 Grandview Circle, Divide, CO 80814 | 2008-12-12 |
| 1578720918 | Teller County Public Health | Public Health or Welfare | 11115 W Hwy 24 Rd, Unit 2c, Divide, CO 80814 | 2008-05-22 |
| 1003084369 | Jacqueline Revello | Counselor | 11115 W. Hwy 24, Unit 2c, Divide, CO 80814 | 2008-02-20 |
| 1851459242 | Deborah Martinez Cunningham | Dental Hygienist | 34 Hybrook Road -south, Divide, CO 80814 | 2006-12-05 |
| 1528136348 | Martha Diane Hubbard | Registered Nurse | 11115 Hwy 24, Unit 2 C, Divide, CO 80814 | 2006-12-01 |
| 1104998822 | Teller County | Clinic/Center | 11115 W. Highway 24, Unit 2c, Divide, CO 80814 | 2006-11-15 |
| Find all providers in zip 80814 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871518 | Emily Tracy | Physician Assistant | 172 Siesta Cir, Evergreen, CO 80439-4339 | 2020-11-05 |
| 1285234914 | Austin Ethridge | Physician Assistant | 22101 County Road 22, Hudson, CO 80642-9514 | 2020-10-30 |
| 1396345195 | Clarissa Rachael Flynn | Physician Assistant | 13795 W Kentucky Dr, Lakewood, CO 80228-3064 | 2020-10-29 |
| 1386244895 | Cheyenne M Zurfluh | Physician Assistant | 1301 Lory St, Fort Collins, CO 80524-4213 | 2020-10-26 |
| 1043819576 | Patrick Ryan Murphy | Physician Assistant | 1160 Sandstone Dr, Vail, CO 81657-4408 | 2020-10-26 |
| 1114527652 | Li Ashley Lim | Physician Assistant | 132 W B St Apt 3k, Pueblo, CO 81003-3446 | 2020-10-26 |
| 1477152957 | Erin Lynn Hellerstedt | Physician Assistant | 766 S Martin St Apt C222, Longmont, CO 80501-6493 | 2020-10-26 |
| 1962001438 | Brian Andrew Kacvinsky | Physician Assistant | 1333 E 17th Ave, Denver, CO 80218-1526 | 2020-10-25 |
| 1750980298 | Rachel Wolfe | Physician Assistant | 38 Qualla Ct, Boulder, CO 80303-3900 | 2020-10-24 |
| 1255930897 | Lee Finley-blasi | Physician Assistant | 841 Atwood St, Longmont, CO 80501-5020 | 2020-10-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. JENNIFER L MCCARTHY.
| 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.