Active NPI
Timothy Whitthorne III
- Driver
- Walsenburg, CO
National Provider Identifier
1275124406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 132170248
- Practice address
- 33 Stacy Dr
Walsenburg, CO 81089 - Phone
- (303) 949-5283
- NPI assigned
- Jan 31, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 132170248 | CO | Primary |
Addresses
Primary practice location
33 Stacy Dr
Walsenburg, CO 81089
Mailing address
33 Stacy Dr
Walsenburg, CO 81089
Phone (303) 949-5283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132170248 | CO | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612051200000",
"number": "1275124406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 STACY DR",
"city": "WALSENBURG",
"state": "CO",
"postal_code": "81089",
"telephone_number": "303-949-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 STACY DR",
"city": "WALSENBURG",
"state": "CO",
"postal_code": "81089",
"telephone_number": "303-949-5283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTHORNE",
"first_name": "TIMOTHY",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-31",
"last_updated": "2021-01-31",
"certification_date": "2021-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CO",
"license": "132170248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walsenburg, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.