Individual provider Active NPI

Kaitlyn Estelle Stewart, CNM PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1992287908
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0998141-NP Issued in CO
Practice address
777 Bannock St
Denver, CO 80204-4597
Phone
(303) 436-4949
Fax
(303) 602-9150
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R214875 MD
Advanced Practice Midwife 367A00000X APN.0997889-CNM CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0998141-NP CO Primary

Addresses

Primary practice location

777 Bannock St
Denver, CO 80204-4597

Mailing address

777 Bannock St
Denver, CO 80204-4597
Phone (303) 436-4949

Other practice location 1

1 Boston Pl Ste 2600
Boston, MA 02108-4420
Phone (240) 595-1824

Other practice location 2

801 W Bay Dr Ste 408
Largo, FL 33770-3220
Phone (215) 585-2144

Other practice location 3

1644 Annapolis Rd Ste 4
Odenton, MD 21113-1002
Phone (215) 585-2144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191227000209 DC Practitioner - Certified Nurse Midwife (CNM) 3274874797 Reassigns benefits to 2 organizations
I20220906000320 DC Practitioner - Nurse Practitioner 3274874797 Reassigns benefits to 1 organization
I20230615002225 CO Practitioner - Nurse Practitioner 3274874797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R214875MDMDPsychiatric/Mental Health Nurse Practitioner
APN.0997889-CNMCOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Jun 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 5, 2021 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jun 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 5, 2021 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Nov 2, 2019 Accepting new patients
Medstar Medical Group II LLC PastSince Feb 19, 2019 Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients

Locations

777 Bannock St
Ste MC3450
Denver, CO 80204

777 Bannock St
Denver, CO 80204

790 Delaware St
#C
Denver, CO 80204
Phone (303) 602-9000

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

2150 Pennsylvania Ave NW
Fl 5
Washington, DC 20037
Phone (202) 741-2500

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

Interoperability endpoints

  • Direct secure messaging: kstewart277989@direct.dhha.org
  • Direct secure messaging: kmole22866@gwmfa.direct-ci.com
  • Direct secure messaging: kaitlyn.stewart.1@22378.direct.athenahealth.com

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1992287908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044597",
            "telephone_number": "303-436-4949",
            "fax_number": "303-602-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044597",
            "telephone_number": "303-436-4949",
            "fax_number": "303-602-9150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Boston Pl Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021084420",
            "country_code": "US",
            "telephone_number": "240-595-1824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 W Bay Dr Ste 408",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337703220",
            "country_code": "US",
            "telephone_number": "215-585-2144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1644 Annapolis Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211131002",
            "country_code": "US",
            "telephone_number": "215-585-2144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KAITLYN",
        "middle_name": "ESTELLE",
        "credential": "CNM PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R214875",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0997889-CNM",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0998141-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.