Healthcare Provider Details

I. General information

NPI: 1518353838
Provider Name (Legal Business Name): JENNIFER LYNN WINDSOR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 BRIARGATE PKWY
COLORADO SPRINGS CO
80920-7835
US

IV. Provider business mailing address

4110 BRIARGATE PKWY
COLORADO SPRINGS CO
80920-7835
US

V. Phone/Fax

Practice location:
  • Phone: 719-632-7669
  • Fax:
Mailing address:
  • Phone: 719-632-7669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number29468
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number00399
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberDR.0066908
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number00399
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: