Jordan Wikert, RN

Primary specialty

SpecialistTaxonomy code 174400000X

License

1631123 Issued in CO

Practice address

10240 Park Meadows Dr
Lone Tree, CO 80124-5425

Phone

(303) 338-4545

NPI assigned

Mar 13, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1336532472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 SADDLEBACK DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801049493",
            "telephone_number": "909-528-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 PARK MEADOWS DR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245425",
            "telephone_number": "303-338-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKERT",
        "first_name": "JORDAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "1631123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "163W00000X",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Whiteacre, RN
• Phillip Blaine Whiting, M.D.
• Madeline Ann Whitney, MD
• Whole Health Integrated Medicine
• Adrian Wierzbiak
• Beverly A Wilkerson, PT
• Willcoll, LLC
• William B. Schoolcraft M.D. P.C
• Caitlin M Williams, LPC, NCC
• Christopher Gerald Williams

• Specialist in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.