Individual provider Active NPI

Kelley Leigh Walker, N.P.

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1891069696
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
187411 Issued in CO
Practice address
12600 Albrook Dr
Denver, CO 80239-4604
Phone
(303) 602-4000
NPI assigned
Feb 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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 187411 CO Primary

Addresses

Primary practice location

12600 Albrook Dr
Denver, CO 80239-4604

Mailing address

12600 Albrook Dr
Denver, CO 80239-4604
Phone (303) 602-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcreamer172238@direct.dhha.org Health Information Exchange (HIE)

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
I20160217000830 CO Practitioner - Nurse Practitioner 2860657871 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
187411COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 26, 2017 Accepting new patients
Clinica Campesina Family Health Services CurrentSince Jan 6, 2016 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 26, 2017 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Denver Health and Hospital Authority CurrentSince Apr 1, 2019 Accepting new patients
Denver Health and Hospital Authority CurrentSince Apr 1, 2019 Accepting new patients
Clinica Campesina Family Health Services Current Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients

Locations

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

12600 Albrook Dr
Denver, CO 80239
Phone (303) 602-4000

1818 N Ogden St
Ste 400
Denver, CO 80218
Phone (303) 318-2440

777 Bannock St
Denver, CO 80204

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1735 S Public Rd
Ste 203
Lafayette, CO 80026

Organizations & group practices 8

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": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1891069696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 ALBROOK DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802394604",
            "telephone_number": "303-602-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 ALBROOK DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802394604",
            "telephone_number": "303-602-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KELLEY",
        "middle_name": "LEIGH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "187411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcreamer172238@direct.dhha.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "777 Bannock St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802044507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.