Jim Grant Whetstine

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

6648 Fountain Ridge Cir.
Fountain, CO 80817-4712

Phone

(719) 648-1405

Fax

(719) 382-8411

NPI assigned

Jan 10, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1902082860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6648 FOUNTAIN RIDGE CIR.",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808174712",
            "telephone_number": "719-648-1405",
            "fax_number": "719-382-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6648 FOUNTAIN RIDGE CIR.",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808174712",
            "telephone_number": "719-648-1405",
            "fax_number": "719-382-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETSTINE",
        "first_name": "JIM",
        "middle_name": "GRANT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc. (Walmart Vision Center 30-3018)
• Jarod Keith Waters, D.C.
• Tiffany Welch, PHARMD
• Xiaofei Wen, PHARMD
• Amanda Grace West
• Jennifer Lynn White, RDLD
• Stephanie Willard, MS RD
• Amanda Margaret Williams, LPC
• Erricka D Wilson, LMT
• Stacey Wilson, M.ED., BCBA

• Home Modifications Contractor in Fountain, CO
• Providers in Fountain, CO by specialty
• Home Modifications Contractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.