Individual provider Active NPI

Cari Beth Chinn, FNP

  • Family Nurse Practitioner
  • Calhan, CO
National Provider Identifier
1063784387
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP990263 Issued in CO
Practice address
560 Crystola St
Calhan, CO 80808-8699
Phone
(719) 347-0100
Fax
(719) 347-0851
NPI assigned
Feb 1, 2012
Last updated
Apr 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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 NP990263 CO Primary

Addresses

Primary practice location

560 Crystola St
Calhan, CO 80808-8699

Mailing address

PO Box 275
Calhan, CO 80808-0275
Phone (719) 347-0100

Other names 1

  • Cari Beth Dittus Former name

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
I20120613000625 CO Practitioner - Nurse Practitioner 9931363447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

560 Crystola St
Calhan, CO 80808-8742
Phone (719) 347-0100

PO Box
Suite 275
Calhan, CO 80808

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP990263COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Plains Medical Clinic of Calhan CurrentSince Mar 15, 2012 Accepting new patients
Eastern Plains Medical Clinic of Calhan CurrentSince Mar 15, 2012 Accepting new patients

Locations

560 Crystola St
Calhan, CO 80808
Phone (719) 282-1211

Interoperability endpoints

  • Direct secure messaging: cari.chinn@epmc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGAGBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGAGBA/Endpoint/IGAGBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1063784387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "CALHAN",
            "state": "CO",
            "postal_code": "808080275",
            "telephone_number": "719-347-0100",
            "fax_number": "719-347-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CRYSTOLA ST",
            "city": "CALHAN",
            "state": "CO",
            "postal_code": "808088699",
            "telephone_number": "719-347-0100",
            "fax_number": "719-347-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINN",
        "first_name": "CARI",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP990263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARI",
            "last_name": "DITTUS",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Calhan, CO

Sources for this page

Verify at the official NPI Registry.