JESSA KENNEDY NP NPI 1679879571

NPI Information

NPI: 1679879571
Provider Name: JESSA KENNEDY, NP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
13691 COLORADO BLVD STE 106
THORNTON, CO
ZIP 80602
Phone: (303) 426-2580
Get Directions

Jessa Kennedy, NP is an obstetrics and gynecology nurse practitioner in Thornton, CO. Jessa Kennedy, NP NPI is 1679879571. 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:

13691 COLORADO BLVD STE 106
THORNTON, CO
ZIP 80602-068
Phone: (303) 426-2580
Fax: (303) 426-2590

The NPI 1679879571 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 2/10/2011 and was last updated on 7/31/2014.

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	163W00000X	Registered Nurse		188050	COLORADO	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	NP-990139	COLORADO	Yes

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: 11/14/2023

NPI Synchronization or Removal

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