Jared Legrand Kennedy, is a
Advanced Practice Midwife based in Golden, Colorado. Jared Legrand Kennedy is licensed to practice in Colorado (license number APN.1001712-CNM) and his current practice location is
12911 W 40th Ave, Golden, Colorado. He can be reached at his office (for appointments etc.) via phone at
(303) 425-4500.
NPI number for Jared Legrand Kennedy is 1003763301 and his current mailing address is 12911 W 40th Ave, Golden, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003763301.
Provider's Profile
| Full Name | Jared Legrand Kennedy |
|---|
| Gender | Male |
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| Speciality | Advanced Practice Midwife |
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| Location | 12911 W 40th Ave, Golden, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003763301
- Provider Enumeration Date: 03/14/2026
- Last Update Date: 03/14/2026
Medical Identifiers
Medical identifiers for Jared Legrand Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003763301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WX0003X | Registered Nurse - Obstetric, Inpatient | RN.0125415 (Colorado) | Secondary |
| 367A00000X | Advanced Practice Midwife | APN.1001712-CNM (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jared Legrand Kennedy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jared Legrand Kennedy, 12911 W 40th Ave, Golden, CO 80401-2696 Ph: (303) 425-4500 | Jared Legrand Kennedy, 12911 W 40th Ave, Golden, CO 80401-2696 Ph: (303) 425-4500 |
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