Individual provider Active NPI

Danielle Yvonne Kennedy, M.S., CCC-A

  • Audiologist
  • Lakewood, CO
National Provider Identifier
1346411436
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD190 Issued in CO
Practice address
13952 Denver West Pkwy Ste 325
Lakewood, CO 80401-3143
Phone
(720) 974-9757
Fax
(720) 974-0248
NPI assigned
Mar 17, 2008
Last updated
Mar 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD190 CO Primary

Addresses

Primary practice location

13952 Denver West Pkwy Ste 325
Lakewood, CO 80401-3143

Mailing address

511 S Simms St
Lakewood, CO 80228-2909
Phone (303) 200-0197

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AUD190COMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1346411436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S SIMMS ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282909",
            "telephone_number": "303-200-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13952 DENVER WEST PKWY STE 325",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013143",
            "telephone_number": "720-974-9757",
            "fax_number": "720-974-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "DANIELLE",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.