Individual provider Active NPI

Jennifer Jo Keto, DNP-FNP

  • Family Nurse Practitioner
  • Thornton, CO
National Provider Identifier
1871011320
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0993196-NP Issued in CO
Practice address
16570 Washington St
Thornton, CO 80023-8964
Phone
(303) 689-6600
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0993196-NP CO Primary

Addresses

Primary practice location

16570 Washington St
Thornton, CO 80023-8964

Mailing address

16570 Washington St
Thornton, CO 80023-8964
Phone (303) 689-6600

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
I20171005000594 CO Practitioner - Nurse Practitioner 9436424199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

16570 Washington St
Larkridge Clinic
Thornton, CO 80023-8964
Phone (303) 689-6600

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0993196-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinidad Area Health Association CurrentSince Mar 1, 2020 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 3, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 3, 2022 Accepting new patients
Trinidad Area Health Association CurrentSince Mar 1, 2020 Accepting new patients

Locations

16570 Washington St
Thornton, CO 80023
Phone (303) 498-1885

400 Benedicta Ave
Ste A
Trinidad, CO 81082
Phone (719) 846-2206

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1871011320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16570 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "800238964",
            "telephone_number": "303-689-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16570 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "800238964",
            "telephone_number": "303-689-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETO",
        "first_name": "JENNIFER",
        "middle_name": "JO",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993196-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.