Whitney S Kennedy MD PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

41061 Issued in CO

Legal business name

WHITNEY S KENNEDY MD PLLC

Practice address

4105 Tejon St
Denver, CO 80211-1879

Phone

(303) 949-9171

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Whitney Swanger Kennedy, M.D.NPI 1043380702

Title

Owner

Phone

(303) 949-9171

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1409/brand/1/csg/1/fhir/r4

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Whitney S Kennedy, M.D.

  • Family Medicine Physician
  • Denver, CO
  • NPI 1043380702
  Medicare reassignment NPD Authorized official
• Kaitlyn Rabulinski, PA-C

  • Medical Physician Assistant
  • Aurora, CO
  • NPI 1255084448
  NPD
• Anna Louise Pankau Roley, NP

  • Family Nurse Practitioner
  • Denver, CO
  • NPI 1497582233
  NPD
• Hilary Weingarth, PA-C

  • Medical Physician Assistant
  • Denver, CO
  • NPI 1295264455
  NPD
• Allison Koprowski Hamburger, PA-C

  • Medical Physician Assistant
  • Denver, CO
  • NPI 1740429976
  NPD (past)
• Kristen Marie Lervik, PA-C

  • Physician Assistant
  • Longmont, CO
  • NPI 1194288522
  NPD (past)
• Kayla Roehling

  • Physician Assistant
  • Denver, CO
  • NPI 1487016176
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1962684381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 TEJON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111879",
            "telephone_number": "303-949-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 TEJON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111879",
            "telephone_number": "303-949-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNEY S KENNEDY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "SWANGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-949-9171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "41061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79126006",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Whitman
• Chase Dean Whitmore
• Elizabeth Whitmore, PH.D..
• Whitney Kearney Counseling PLLC
• Whitney Lentz Wellness
• Alaina Whitney, MA, MFTC
• Brian Gary Whitney, LCSW
• Diana Leni Whitney, MD
• Heidi Anne Whitney, LCSW, IMHE (III)
• James Kenneth Whitney, LCSW

• Primary Care Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.