Kimberly Whittaker, RN BSN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

0129375 Issued in CO

Practice address

4318 Trail Boss Dr
Castle Rock, CO 80104-7512

Phone

(303) 817-4110

NPI assigned

Mar 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1164171906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16780 ROLLING HILLS PL",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343047",
            "telephone_number": "303-807-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 TRAIL BOSS DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047512",
            "telephone_number": "303-817-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10168 Parkglenn Way",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801383868",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "KIMBERLY",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CO",
            "license": "0129375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://apps.kp.org/Citrix/COWeb/",
            "affiliation": "N",
            "address_1": "4318 Trail Boss Dr",
            "city": "Castle Rock",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801047512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Judith Whalen, PTA
• Elizabeth Wharry, OTR/L
• Ashley Colleen White
• David Ryan White, CMT
• Kaitlyn Elisabeth White, PA-C
• Julia Rose Wiegand, DDS
• Hannah Wiegert
• Linda Wieland, PHARM.D.
• Heather Wien, MS, LPC, NCC
• Michelle Rene Wiesner, M.A., CCC/SLP

• Case Management Registered Nurse in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Case Management Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.