1. Home
  2. Directory
  3. Colorado
  4. Aurora
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JONATHAN TAYLOR-FISHWICK
NPI 1639756521
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since March 26, 2021PECOS Enrolled
12631 EAST 17TH AVE, MAILSTOP C316, AURORA, CO 80045(303) 724-6595 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jonathan Taylor-fishwick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN TAYLOR-FISHWICK (NPI 1639756521) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639756521
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN TAYLOR-FISHWICK
Location Address12631 EAST 17TH AVE, MAILSTOP C316Aurora, CO 80045
Mailing Address12631 East 17th Ave, Mailstop C316Aurora, CO 80045
Phone(303) 724-6595
Sole ProprietorNo
Enumeration DateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1639756521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12631 EAST 17TH AVE, MAILSTOP C316, Aurora, CO 80045
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Taylor-fishwick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Taylor-fishwick's NPI number?

The NPI number for Jonathan Taylor-fishwick is 1639756521. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Jonathan Taylor-fishwick located?

Jonathan Taylor-fishwick practices at 12631 East 17th Ave, Mailstop C316, Aurora, CO 80045. The listed phone number is (303) 724-6595.

What is Jonathan Taylor-fishwick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Taylor-fishwick enrolled in Medicare?

Yes. Jonathan Taylor-fishwick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Taylor-fishwick was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.