Individual provider Active NPI

Judith Lynn Kwedar, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1386100774
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0994451-NP Issued in CO
Practice address
1435 Garrison St Ste 100
Lakewood, CO 80215-4748
Phone
(217) 220-1573
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0994451-NP CO Primary

Addresses

Primary practice location

1435 Garrison St Ste 100
Lakewood, CO 80215-4748

Mailing address

1435 Garrison St Ste 100
Lakewood, CO 80215-4748
Phone (217) 220-1573

Other practice location 1

300 S Jackson St Ste 240
Denver, CO 80209-3131
Phone (720) 724-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210308001784 CO Practitioner - Nurse Practitioner 1850707324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Denver Wellness AssociatesGroup PAC ID 3274949730, 50 clinicians

Practice addresses (Care Compare)

400 S Colorado Blvd
Suite 600
Denver, CO 80246-1239
Phone (720) 724-3668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Wellness Associates CurrentSince Dec 1, 2020 Accepting new patients
Denver Wellness Associates CurrentSince Dec 3, 2023 Accepting new patients
Denver Wellness Associates PastSince Sep 10, 2023 Accepting new patients
Denver Wellness Associates PastSince Aug 25, 2024 Accepting new patients

Locations

300 S Jackson St
Ste 240
Denver, CO 80209
Phone (717) 215-3471

400 S Colorado Blvd
Ste 600
Glendale, CO 80246
Phone (303) 600-5188

1435 Garrison St
Ste 100
Lakewood, CO 80215
Phone (510) 735-6529

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1386100774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 GARRISON ST STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154748",
            "telephone_number": "217-220-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 GARRISON ST STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154748",
            "telephone_number": "217-220-1573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Jackson St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802093131",
            "country_code": "US",
            "telephone_number": "720-724-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWEDAR",
        "first_name": "JUDITH",
        "middle_name": "LYNN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0994451-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.