Kenatta L Adams, RN

Individual provider Active NPI Registered Nurse · Lakewood, CO

NPI 1013678002 · NPPES record last updated Jan 3, 2022

Key facts

NPI
1013678002
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
1666775 (CO)
Practice address
645 Parfet St
Lakewood, CO 80215-5574
Phone
(941) 713-3162
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1666775COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Colorado Past
since Jan 17, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1666775 CO Yes

Addresses

Primary practice location

645 Parfet St
Lakewood, CO 80215-5574

Mailing address

PO Box 473635
Aurora, CO 80047-3635
Phone (941) 713-3162

Electronic endpoints

TypeEndpointUseAffiliation
Other URL kadams@health.co.jeffco.us Health Information Exchange (HIE)

Other providers in Lakewood, CO

All providers in Lakewood, CO · Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.