Whitney S Kennedy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

41061 Issued in CO

Practice address

4104 Tejon St.
Denver, CO 80211-1813

Phone

(303) 381-3700

Fax

(303) 477-4118

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Colorado School of Medicine, Denver, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: whitney.kennedy.1@1409.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1409/brand/1/csg/1/fhir/r4

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.

• Whitney S Kennedy MD PLLC

  • Primary Care Clinic/Center
  • Denver, CO
  • NPI 1962684381
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1043380702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 TEJON ST.",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111813",
            "telephone_number": "303-381-3700",
            "fax_number": "303-477-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 TEJON ST.",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111813",
            "telephone_number": "303-381-3700",
            "fax_number": "303-477-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "WHITNEY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79126006",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Kennedy, D.C.
• Nicole Dyan Kennedy, PA
• Sean Kennedy, DPM
• Susan Kennedy
• Timothy C Kennedy, MD
• Terrell Kennet
• Kenneth E. Petri M.D. PC
• Kenneth F Baum MD PC
• Kenneth Kauvar MD
• Erika S Kenney, M.D.

• Family Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.