Healthcare Provider Details

I. General information

NPI: 1801382569
Provider Name (Legal Business Name): KARI WHITAKER WHEELER MSN, RN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 TERRY ST STE 200
LONGMONT CO
80501-5464
US

IV. Provider business mailing address

1915 LAKESPUR LN
LOUISVILLE CO
80027-2456
US

V. Phone/Fax

Practice location:
  • Phone: 720-324-7158
  • Fax: 833-547-1923
Mailing address:
  • Phone: 303-880-4534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.1000241-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.0150155
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: