Active NPI
Kayla Havill
- Family Nurse Practitioner
- Denver, CO
National Provider Identifier
1275114704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95028136
- Practice address
- 3920 S Hillcrest Dr
Denver, CO 80237-1110 - Phone
- (949) 842-4580
- NPI assigned
- Apr 16, 2021
- Last updated
- Jun 4, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95028136 | CA | Primary |
| Family Nurse Practitioner | 363LF0000X | 0998572 | CO | |
| Family Nurse Practitioner | 363LF0000X | 71018032A | IN |
Addresses
Primary practice location
3920 S Hillcrest Dr
Denver, CO 80237-1110
Mailing address
11901 Ridge Rd Apt 565
Wheat Ridge, CO 80033-2080
Phone (949) 515-9300
Other practice location 1
1 Park Plz Ste 600
Irvine, CA 92614-5987
Phone (949) 515-7300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24669 | Other | SC | SC NP LICENSE |
| 71018032A | Other | IN | NURSE PRACTITIONER |
| 95028136 | Other | CA | CALIFORNIA NP LICENSE |
| 0998572 | Other | CO | COLORADO NP LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95028136 | CA | MD | Family Nurse Practitioner |
| 0998572 | CO | MD | Family Nurse Practitioner |
| 71018032A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John E. Emmel, MD, PC | Current | Accepting new patients |
Locations
27 Gamecock Ave
Ste 201
Charleston, SC 29407
Phone 8437698215 ext. 10
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.
-
dba Geriatric Facility Care Specialists
- Geriatric Medicine (Family Medicine) Physician
- Charleston, SC
- NPI 1235263534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1275114704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11901 RIDGE RD APT 565",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800332080",
"telephone_number": "949-515-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 S HILLCREST DR",
"city": "DENVER",
"state": "CO",
"postal_code": "802371110",
"telephone_number": "949-842-4580"
}
],
"practiceLocations": [
{
"address_1": "1 Park Plz Ste 600",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926145987",
"country_code": "US",
"telephone_number": "949-515-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAVILL",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-16",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95028136",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0998572",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71018032A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC NP LICENSE",
"identifier": "24669",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER",
"identifier": "71018032A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA NP LICENSE",
"identifier": "95028136",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO NP LICENSE",
"identifier": "0998572",
"state": "CO"
}
],
"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 Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.