Individual provider Active NPI

Joan Elise Bryant-Kennedy, RRT

  • Registered Respiratory Therapist
  • Colorado Springs, CO
National Provider Identifier
1114661527
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RTL.0000621 Issued in CO
Practice address
2222 N Nevada Ave Ste 4004
Colorado Springs, CO 80907-6832
Phone
(719) 471-7064
Fax
(719) 776-5459
NPI assigned
Apr 21, 2022
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RTL.0000621 CO Primary

Addresses

Primary practice location

2222 N Nevada Ave Ste 4004
Colorado Springs, CO 80907-6832

Mailing address

2222 N Nevada Ave Ste 4004
Colorado Springs, CO 80907-6832
Phone (719) 471-7064

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RTL.0000621COMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Pulmonary Consultants PC PastSince Apr 24, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1114661527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE STE 4004",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076832",
            "telephone_number": "719-471-7064",
            "fax_number": "719-776-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE STE 4004",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076832",
            "telephone_number": "719-471-7064",
            "fax_number": "719-776-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT-KENNEDY",
        "first_name": "JOAN",
        "middle_name": "ELISE",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CO",
            "license": "RTL.0000621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.