Active NPI
Bettina Ann Thorn, RN
- Case Management Registered Nurse
- Fort Carson, CO
National Provider Identifier
1972566552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN.0150090
- Practice address
- 1650 Cochrane Cir
BLDG. 7500
Fort Carson, CO 80913-4603 - Phone
- (719) 526-7111
- Fax
- (719) 524-4090
- NPI assigned
- Apr 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 150090 | CO | |
| Case Management Registered Nurse | 163WC0400X | RN.0150090 | CO | Primary |
Addresses
Primary practice location
1650 Cochrane Cir
BLDG. 7500
Fort Carson, CO 80913-4603
Mailing address
8854 Monterey Way
Fountain, CO 80817
Phone (719) 382-4917
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0150090 | CO | MD | Case Management Registered Nurse |
| 150090 | CO | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1972566552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8854 MONTEREY WAY",
"city": "FOUNTAIN",
"state": "CO",
"postal_code": "80817",
"telephone_number": "719-382-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR",
"address_2": "BLDG. 7500",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134603",
"telephone_number": "719-526-7111",
"fax_number": "719-524-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORN",
"first_name": "BETTINA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "CO",
"license": "150090",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CO",
"license": "RN.0150090",
"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 Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.