Individual provider Active NPI

Jessica Kelner, D.O.

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Denver, CO
National Provider Identifier
1033542345
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
License
DR.0058123 Issued in CO
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3301WVMDPediatric Dentist
007690AZMDFamily Medicine Physician
CDRH.0058123COMDFamily Medicine Physician
OS12303FLMDFamily Medicine Physician
036145976ILMDFamily Medicine Physician
63752MNMDFamily Medicine Physician
25746MSMDFamily Medicine Physician
18918NHMDFamily Medicine Physician
23-321WIMDFamily Medicine Physician

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.