Katelyn Janis Pergeau, BSN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN194037 Issued in AZ

Practice address

18150 N Alterra Pkwy
Maricopa, AZ 85139-4200

Phone

(303) 594-5317

NPI assigned

Jun 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katelyn Janis Nanstiel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1013752856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18150 N ALTERRA PKWY",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851394200",
            "telephone_number": "303-594-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18150 N ALTERRA PKWY",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851394200",
            "telephone_number": "303-594-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERGEAU",
        "first_name": "KATELYN",
        "middle_name": "JANIS",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AZ",
            "license": "RN194037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "NANSTIEL",
            "middle_name": "JANIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Community Health Registered Nurse in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Community Health Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.