JACKI DEGOLYER FNP NPI 1356912497

NPI Information

NPI: 1356912497
Provider Name: JACKI DEGOLYER, FNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
8200 E BELLEVIEW AVE STE 202C
GREENWOOD VILLAGE, CO
ZIP 80111
Phone: (303) 357-2551
Get Directions

Jacki Degolyer, FNP is a primary care nurse practitioner in Greenwood Village, CO with 11 years of experience. Jacki Degolyer, FNP NPI is 1356912497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8200 E BELLEVIEW AVE STE 202C
GREENWOOD VILLAGE, CO
ZIP 80111-805
Phone: (303) 357-2551
Fax: (303) 221-2445

The NPI 1356912497 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2021 and was last updated on 4/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0996679-NP	COLORADO	No
2	363LP2300X	Nurse Practitioner	Primary Care	5019545	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	227042	OTHER	COLORADO	CDE SPECIAL SERVICE PROVIDER
2	5019545	OTHER	NORTH CAROLINA	ADVANCED PRACTICE NURSE
3	0996679-NP	OTHER	COLORADO	ADVANCED PRACTICE NURSE
4	364412	OTHER	NORTH CAROLINA	REGISTERED NURSE
5	0175594	OTHER	COLORADO	COLORADO REGISTERED NURSE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »