Paula Jean Whitehorn, REGISTERED NURSE

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

43181 Issued in CO

Practice address

172 Justice Center Rd
Canon City, CO 81212-9354

Phone

(719) 275-1626

Fax

(719) 275-4328

NPI assigned

May 20, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jean Whitehorn Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Fremont

  • Public Health or Welfare Agency
  • Canon City, CO
  • NPI 1013917921
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1164689998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 JUSTICE CENTER RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129354",
            "telephone_number": "719-275-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 JUSTICE CENTER RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129354",
            "telephone_number": "719-275-1626",
            "fax_number": "719-275-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHORN",
        "first_name": "PAULA",
        "middle_name": "JEAN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CO",
            "license": "43181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07431810",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "WHITEHORN",
            "credential": "REGISTERED NURSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• West Central Mental Health Center, Inc.
• West Central Mental Health Center, Inc.
• Stephanie Westbrook
• Wendy Westfall, M.T.
• Brytani Ladawn White, PA-C
• Traci Whitley
• Loni Jean Williams
• Andree Wilson, LPC
• Cheri Marie Wilson, LPN
• Elizabeth S Wilson, MD

• Community Health Registered Nurse in Canon City, CO
• Providers in Canon City, CO by specialty
• Community Health Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.