Active NPI
Kenneth J Robinson, PNP
- Pediatrics Physician
- Lakewood, CO
National Provider Identifier
1346945433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C-APN.0003861-C-NP
- Practice address
- 3333 S Wadsworth Blvd Unit B103
Lakewood, CO 80227-5120 - Phone
- (303) 988-5252
- NPI assigned
- Mar 30, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C-APN.0003861-C-NP | CO | Primary |
Addresses
Primary practice location
3333 S Wadsworth Blvd Unit B103
Lakewood, CO 80227-5120
Mailing address
28 English Muffin CT
Berkeley Springs, WV 25411-3196
Phone (304) 820-8631
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 |
|---|---|---|---|
| C-APN.0003861-C-NP | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients | |
| Academy Park Pediatrics PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- krobinson263803@direct.childrenscolorado.org
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Pediatrics Physician
- Lakewood, CO
- NPI 1801882105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1346945433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 ENGLISH MUFFIN CT",
"city": "BERKELEY SPRINGS",
"state": "WV",
"postal_code": "254113196",
"telephone_number": "304-820-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 S WADSWORTH BLVD UNIT B103",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802275120",
"telephone_number": "303-988-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "KENNETH",
"middle_name": "J",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-30",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "C-APN.0003861-C-NP",
"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 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.