Individual provider Active NPI

Khatera Jahan, DNP, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Parker, CO
National Provider Identifier
1952946063
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0994659 Issued in CO
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

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0994659COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bliss Behavioral Health PLLC Family CurrentSince Sep 24, 2023 Accepting new patients
Mile High Psychiatry LLC Psychiatric/Mental Health PastSince Nov 1, 2019 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.

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.

Verify at the official NPI Registry.