Active NPI
Jessica Kelner, D.O.
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Denver, CO
National Provider Identifier
1033542345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- License
- DR.0058123
- Practice address
- 1525 Raleigh St Ste 300
Denver, CO 80204 - Phone
- (720) 370-9559
- NPI assigned
- Aug 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25746 | MS | |
| Family Medicine Physician | 207Q00000X | 3301 | WV | |
| Family Medicine Physician | 207Q00000X | 007690 | AZ | |
| Family Medicine Physician | 207Q00000X | 18918 | NH | |
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | DR.0058123 | CO | Primary |
| Family Medicine Physician | 207Q00000X | OS12303 | FL | |
| Family Medicine Physician | 207Q00000X | CDRH.0058123 | CO | |
| Family Medicine Physician | 207Q00000X | 23-321 | WI | |
| Family Medicine Physician | 207Q00000X | 036145976 | IL | |
| Family Medicine Physician | 207Q00000X | 63752 | MN |
Addresses
Primary practice location
1525 Raleigh St Ste 300
Denver, CO 80204
Mailing address
1525 Raleigh St Ste 300
Denver, CO 80204-1374
Phone (720) 370-9559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3301 | WV | MD | Pediatric Dentist |
| 007690 | AZ | MD | Family Medicine Physician |
| CDRH.0058123 | CO | MD | Family Medicine Physician |
| OS12303 | FL | MD | Family Medicine Physician |
| 036145976 | IL | MD | Family Medicine Physician |
| 63752 | MN | MD | Family Medicine Physician |
| 25746 | MS | MD | Family Medicine Physician |
| 18918 | NH | MD | Family Medicine Physician |
| 23-321 | WI | MD | Family Medicine Physician |
Interoperability endpoints
- https://api.platform.athenahealth.com/26627/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1033542345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 RALEIGH ST STE 300",
"city": "DENVER",
"state": "CO",
"postal_code": "802041374",
"telephone_number": "720-370-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 RALEIGH ST STE 300",
"city": "DENVER",
"state": "CO",
"postal_code": "80204",
"telephone_number": "720-370-9559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELNER",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "25746",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "3301",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "007690",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "18918",
"primary": false
},
{
"code": "2081N0008X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": "CO",
"license": "DR.0058123",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS12303",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "CDRH.0058123",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "23-321",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036145976",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "63752",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.