Kym Littlefield Whitaker, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0992546-NP Issued in CO

Practice address

110 ENT Avenue
Peterson AFB, CA 80914

Phone

(719) 556-1306

Fax

(719) 556-1226

NPI assigned

Aug 30, 2016

Last updated

Jan 18, 2019By the provider in NPPES

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

Other names 1

• Kym Littlefield Whitaker Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Uch-MHS

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1538958400
  NPD
• Uch-MHS

  dba UCHealth Lifeline

  • Ambulance
  • Colorado Springs, CO
  • NPI 1417512559
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1356897250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10263 CAPITAL PEAK WAY",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314447",
            "telephone_number": "076-314-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ENT AVENUE",
            "city": "PETERSON AFB",
            "state": "CA",
            "postal_code": "80914",
            "telephone_number": "719-556-1306",
            "fax_number": "719-556-1226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1670 E Cheyenne Mountain Blvd Ste 261",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064035",
            "country_code": "US",
            "telephone_number": "719-204-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10263 Capital Peak Way",
            "address_purpose": "LOCATION",
            "city": "Falcon",
            "state": "CO",
            "postal_code": "808314447",
            "country_code": "US",
            "telephone_number": "307-631-4365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "KYM",
        "middle_name": "LITTLEFIELD",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992546-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYM",
            "last_name": "WHITAKER",
            "middle_name": "LITTLEFIELD",
            "credential": "MSN, FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.