Active NPI
Khatera Jahan, DNP, PMHNP-BC, FNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Parker, CO
National Provider Identifier
1952946063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0994659
- Practice address
- 19751 E Mainstreet Ste 370
Parker, CO 80138-7411 - Phone
- (720) 817-6490
- NPI assigned
- Nov 12, 2019
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0994659 | CO | Primary |
Addresses
Primary practice location
19751 E Mainstreet Ste 370
Parker, CO 80138-7411
Mailing address
19751 E Mainstreet Ste 370
Parker, CO 80138-7411
Phone (720) 817-6490
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0994659 | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bliss Behavioral Health PLLC | Family | Current | Accepting new patients |
| Mile High Psychiatry LLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
11027 S Pikes Peak Dr
Ste 202
Parker, CO 80138
Phone (720) 340-7222
10940 S Parker Rd
Parker, CO 80134
Phone (303) 426-3927
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Parker, CO
- NPI 1952099020
-
- Psychiatric/Mental Health Nurse Practitioner
- Aurora, CO
- NPI 1760928766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1952946063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19751 E MAINSTREET STE 370",
"city": "PARKER",
"state": "CO",
"postal_code": "801387411",
"telephone_number": "720-817-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19751 E MAINSTREET STE 370",
"city": "PARKER",
"state": "CO",
"postal_code": "801387411",
"telephone_number": "720-817-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAHAN",
"first_name": "KHATERA",
"credential": "DNP, PMHNP-BC, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-12",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "0994659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.