Individual provider Active NPI

Allison Kennedy, R.N.

  • Registered Nurse
  • Arvada, CO
National Provider Identifier
1689006777
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
194599 Issued in CO
Practice address
4004 W 61St PL
Arvada, CO 80003-6710
Phone
(517) 281-2630
NPI assigned
Jul 31, 2013
Last updated
Jul 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 194599 CO Primary
Licensed Practical Nurse 164W00000X 47423 CO

Addresses

Primary practice location

4004 W 61St PL
Arvada, CO 80003-6710

Mailing address

4004 W 61St PL
Arvada, CO 80003-6710
Phone (517) 281-2630

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
194599COMDRegistered Nurse
47423COMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Chiropractic LLC CurrentSince May 7, 2019 Accepting new patients

Locations

220 E Beaver Ave
Fort Morgan, CO 80701
Phone (970) 458-5216

329 E Platte Ave
Fort Morgan, CO 80701
Phone (970) 458-5216

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": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1689006777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 W 61ST PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800036710",
            "telephone_number": "517-281-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 W 61ST PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800036710",
            "telephone_number": "517-281-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ALLISON",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "194599",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "47423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.