NPI 1174408546 · live from the CMS NPI Registry
Jennifer Mary Anderson
Nurse Practitioner, Family in Lakewood, CO. National Provider Identifier 1174408546, active.
NPI record
| NPI | 1174408546 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 12600 W Colfax Ave Ste B200, Lakewood, CO 80215 |
| Practice phone | 303-993-1330 |
| Enumerated | August 6, 2025 |
| Last updated | August 15, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — (CO) |
| Nurse Practitioner, Family primary | 363LF0000X | 1001081 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.