Individual provider Active NPI

Kayla Havill

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1275114704
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028136 Issued in CA
Practice address
3920 S Hillcrest Dr
Denver, CO 80237-1110
Phone
(949) 842-4580
NPI assigned
Apr 16, 2021
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
24669OtherSCSC NP LICENSE
71018032AOtherINNURSE PRACTITIONER
95028136OtherCACALIFORNIA NP LICENSE
0998572OtherCOCOLORADO 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

LicenseStateTypeSpecialty
95028136CAMDFamily Nurse Practitioner
0998572COMDFamily Nurse Practitioner
71018032AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John E. Emmel, MD, PC CurrentSince Apr 20, 2021 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.

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.

Verify at the official NPI Registry.