Active NPI
Kaitlyn Mary Van Asten, BSN RN
- Registered Nurse
- New Franken, WI
National Provider Identifier
1043092968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 223251-30
- Practice address
- 3634 Stanford Dr
New Franken, WI 54229-9597 - Phone
- (920) 840-2897
- NPI assigned
- Oct 16, 2023
- Last updated
- Oct 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 223251-30 | WI | Primary |
Addresses
Primary practice location
3634 Stanford Dr
New Franken, WI 54229-9597
Mailing address
3634 Stanford Dr
New Franken, WI 54229-9597
Phone (920) 840-2897
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223251-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1043092968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3634 STANFORD DR",
"city": "NEW FRANKEN",
"state": "WI",
"postal_code": "542299597",
"telephone_number": "920-840-2897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3634 STANFORD DR",
"city": "NEW FRANKEN",
"state": "WI",
"postal_code": "542299597",
"telephone_number": "920-840-2897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ASTEN",
"first_name": "KAITLYN",
"middle_name": "MARY",
"credential": "BSN RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-16",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "223251-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Franken, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.