Individual provider Active NPI

Carolyn J Jarnes, RNFA/NP

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1952344798
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0994481-NP Issued in CO
Practice address
4010 Regency Dr
Colorado Springs, CO 80906-4382
Phone
(719) 398-1415
NPI assigned
Jun 13, 2006
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0994481-NP CO Primary
Registered Nurse 163W00000X 82751 CO

Addresses

Primary practice location

4010 Regency Dr
Colorado Springs, CO 80906-4382

Mailing address

319 N Institute St
Colorado Springs, CO 80903-3117
Phone (719) 398-1415

Other names 1

  • Carolyn J Cothran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20240712000936 OR Order and Referring Only - Nurse Practitioner 2264842004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
82751COMDRegistered Nurse
APN.0994481-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lykos Medical LLC PastSince Jul 25, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26269/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1952344798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N INSTITUTE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033117",
            "telephone_number": "719-398-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 REGENCY DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064382",
            "telephone_number": "719-398-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARNES",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "credential": "RNFA/NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0994481-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "82751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "COTHRAN",
            "middle_name": "J",
            "credential": "RNFA/NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.