Active NPI
Melissa Kenney, PA-C
- Physician Assistant
- Parker, CO
National Provider Identifier
1215601919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 16830 Northgate Dr Unit 150
Parker, CO 80134-5778 - Phone
- (303) 805-7879
- Fax
- (303) 805-8076
- NPI assigned
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
16830 Northgate Dr Unit 150
Parker, CO 80134-5778
Mailing address
9094 E Mineral Cir Ste 100
Centennial, CO 80112-7201
Phone (303) 694-3200
Other practice location 1
10901 W Toller Dr Ste 101
Littleton, CO 80127-6312
Phone (303) 973-3200
Other practice location 2
9094 E Mineral Cir Ste 100
Centennial, CO 80112-7201
Phone (303) 694-3200
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwood Pediatrics PC | Past | 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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Centennial, CO
- NPI 1619013448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1215601919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9094 E MINERAL CIR STE 100",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801127201",
"telephone_number": "303-694-3200",
"fax_number": "303-694-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16830 NORTHGATE DR UNIT 150",
"city": "PARKER",
"state": "CO",
"postal_code": "801345778",
"telephone_number": "303-805-7879",
"fax_number": "303-805-8076"
}
],
"practiceLocations": [
{
"address_1": "10901 W Toller Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Littleton",
"state": "CO",
"postal_code": "801276312",
"country_code": "US",
"telephone_number": "303-973-3200",
"fax_number": "303-904-8510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9094 E Mineral Cir Ste 100",
"address_purpose": "LOCATION",
"city": "Centennial",
"state": "CO",
"postal_code": "801127201",
"country_code": "US",
"telephone_number": "303-694-3200",
"fax_number": "303-694-2680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEY",
"first_name": "MELISSA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-05",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.