Active NPI
Kathleen M McLaren, CRNA
- Certified Registered Nurse Anesthetist
- Grosse Pointe, MI
National Provider Identifier
1043353931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704113993
- Practice address
- 468 Cadieux Rd
Grosse Pointe, MI 48230-1507 - Phone
- (313) 343-1684
- NPI assigned
- Feb 14, 2007
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704113993 | MI | Primary |
Addresses
Primary practice location
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Mailing address
130 Town Center Dr
Ste 203
Troy, MI 48084-1744
Phone (248) 585-8221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1612368 | Medicaid | MI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704113993 | MI | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1043353931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 TOWN CENTER DR",
"address_2": "STE 203",
"city": "TROY",
"state": "MI",
"postal_code": "480841744",
"telephone_number": "248-585-8221",
"fax_number": "248-585-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 CADIEUX RD",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301507",
"telephone_number": "313-343-1684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAREN",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704113993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1612368",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.