Active NPI
Cynthia J Whitaker, FNP
- Family Nurse Practitioner
- Fort Carson, CO
National Provider Identifier
1679677371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024167655
- Practice address
- Warrior Clinic
Titus Avenue
Fort Carson, CO 80913-0463 - Phone
- (804) 837-5761
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024167655 | VA | Primary |
Addresses
Primary practice location
Warrior Clinic
Titus Avenue
Fort Carson, CO 80913-0463
Mailing address
10082 Beechwood Drive
Mechanicsville, VA 23116
Phone (804) 837-5761
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 |
|---|---|---|---|
| 0024167655 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1679677371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10082 BEECHWOOD DRIVE",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "23116",
"telephone_number": "804-837-5761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WARRIOR CLINIC",
"address_2": "TITUS AVENUE",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809130463",
"telephone_number": "804-837-5761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "CYNTHIA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024167655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.