Active NPI
Caitlin Kolb
- Registered Nurse
- La Crosse, WI
National Provider Identifier
1003433749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 196054
- Practice address
- 1203 Charles St
La Crosse, WI 54603-2502 - Phone
- (608) 792-5529
- NPI assigned
- Jun 29, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 196054 | WI | Primary |
Addresses
Primary practice location
1203 Charles St
La Crosse, WI 54603-2502
Mailing address
1203 Charles St
La Crosse, WI 54603-2502
Phone (608) 792-5529
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Ckolb06@gmail.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196054 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1003433749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 CHARLES ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546032502",
"telephone_number": "608-792-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 CHARLES ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546032502",
"telephone_number": "608-792-5529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLB",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "196054",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Ckolb06@gmail.com",
"affiliation": "N",
"address_1": "1203 Charles St",
"city": "LA Crosse",
"state": "WI",
"country_code": "US",
"postal_code": "546032502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.