Active NPI
Kathleen Ellen Huston, L.P.N.
- Licensed Practical Nurse
- Corvallis, OR
National Provider Identifier
1083867097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 097003252LPN
- Practice address
- 1605 NW 13TH St
Corvallis, OR 97330-2011 - Phone
- (541) 758-1398
- NPI assigned
- Nov 4, 2008
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 097003252LPN | OR | Primary |
Addresses
Primary practice location
1605 NW 13TH St
Corvallis, OR 97330-2011
Mailing address
4052 Davidson St SE
Albany, OR 97322-6324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 684339 | Other | OR | MFC |
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 |
|---|---|---|---|
| 097003252LPN | OR | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225756800000",
"number": "1083867097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4052 DAVIDSON ST SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973226324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 NW 13TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973302011",
"telephone_number": "541-758-1398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSTON",
"first_name": "KATHLEEN",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "L.P.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-04",
"last_updated": "2008-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OR",
"license": "097003252LPN",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFC",
"identifier": "684339",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.