JESSA KENNEDY


Address: 13691 Colorado Blvd Ste 106, Thornton, CO 80602-7068
Phone: 3034262580

JESSA KENNEDY (NPI# 1679879571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679879571
Entity Type Individual
Full Name JESSA KENNEDY
Credential NP
Practice Address 13691 Colorado Blvd Ste 106
Thornton
CO 80602-7068
Mailing Address 13691 Colorado Blvd Ste 106
Thornton
CO 80602
Practice Telephone 3034262580
Practice Fax Number 3034262590
Mailing Telephone 3034262580
Mailing Fax Number 3034262590
Enumeration Date 2011-02-10
Last Update Date 2014-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 188050 CO Nursing Service Providers
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
NP-990139 CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 13691 COLORADO BLVD STE 106
City THORNTON
State CO
Zip Code 80602-7068

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1851788384 Cheryl Ann Kirkland Technician 7523 E 130th Cir., Thornton, CO 80602 2015-04-22
1467722405 Christie Lynn Kraeger Social Worker 2717 E 139th Place, Thornton, CO 80602 2012-01-09
1457635328 Bindu Kurien Pharmacist 13611 N.colorado Blvd, Thornton, CO 80602 2011-10-10
1891092664 Catholic Health Initiatives Colorado Family Medicine 13691 Colorado Blvd., Suite 106, Thornton, CO 80602 2011-02-14
1740401306 Lori Louise Ross Speech-Language Pathologist 13844 Jackson Street, Thornton, CO 80602 2007-05-01
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801206487 Kathy L. Plummer Nurse Practitioner 7720 S Broadway #440, Littleton, CO 80122-2624 2014-05-05
1790195501 Kathryn J Snelson England Nurse Practitioner 7720 S. Broadway #440, Littleton, CO 80122-2624 2014-05-01
1184976169 Mindy Gay Willits Nurse Practitioner 499 E Hampden Ave Ste 190, Englewood, CO 80113-3875 2012-10-15
1265664676 Glenna E Kersten Nurse Practitioner 499 E Hampden Ave Ste 350, Englewood, CO 80113-3877 2009-08-18
1982868055 Karen Hogan Nurse Practitioner 3124 S Parker Rd # A2-450, Aurora, CO 80014-6215 2008-07-17
1871777193 Traci Shahan Nurse Practitioner 600 S Airport Rd Bldg A, Longmont, CO 80503-6424 2007-12-21
1720207301 Rickie Guida Nurse Practitioner 6179 S. Balsam, Suite 200, Littleton, CO 80123-9093 2007-04-24
1326267980 Barbara J Ferris Nurse Practitioner 701 E Hampden Ave Ste 120, Englewood, CO 80113-2736 2007-04-24
1770626863 Carol L Omeara Nurse Practitioner 10400 E. Alameda, Denver, CO 80241-5199 2007-02-15
1568578276 Tamara M Burdi Nurse Practitioner 701 E. Hampden Ave, #120, Englewood, CO 80113 2006-08-23
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Competitor

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City THORNTON
Zip Code 80602

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Dataset Information

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.

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