Provider Demographics
NPI:1801382569
Name:WHEELER, KARI WHITAKER (MSN, RN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:WHITAKER
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MSN, RN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 LAKESPUR LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-2456
Mailing Address - Country:US
Mailing Address - Phone:303-880-4534
Mailing Address - Fax:
Practice Address - Street 1:698 BRIGGS STREET
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-5022
Practice Address - Country:US
Practice Address - Phone:720-324-7158
Practice Address - Fax:833-547-1923
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-05
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0150155163W00000X
COAPN.1000241-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse