Individual provider Active NPI

Kayla Roehling

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1487016176
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004555 Issued in CO
Practice address
4104 Tejon St
Denver, CO 80211-1813
Phone
(303) 381-3700
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0004555 CO Primary

Addresses

Primary practice location

4104 Tejon St
Denver, CO 80211-1813

Mailing address

4104 Tejon St
Denver, CO 80211-1813
Phone (303) 381-3700

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
I20170427000653 CO Order and Referring Only - Physician Assistant 1759668858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whitney S Kennedy MD PLLC PastSince Mar 1, 2005 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kayla.roehling.1@1409.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1409/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1487016176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 TEJON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111813",
            "telephone_number": "303-381-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 TEJON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111813",
            "telephone_number": "303-381-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEHLING",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.