Active NPI
Kathleen L Pulchny, APRN-CNP
- Family Nurse Practitioner
- Grand Junction, CO
National Provider Identifier
1174828016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 73470
- Practice address
- 2121 North Ave
Grand Junction, CO 81501-6428 - Phone
- (918) 577-1722
- NPI assigned
- Jan 25, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 73470 | OK | Primary |
Addresses
Primary practice location
2121 North Ave
Grand Junction, CO 81501-6428
Mailing address
796 Rock Pen Rd
McAlester, OK 74501-4984
Phone (918) 424-3095
Other practice location 1
1011 Honor Heights Dr Ste A
Muskogee, OK 74401-1318
Phone (918) 577-1722
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 |
|---|---|---|---|
| 73470 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1174828016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "796 ROCK PEN RD",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014984",
"telephone_number": "918-424-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 NORTH AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815016428",
"telephone_number": "918-577-1722"
}
],
"practiceLocations": [
{
"address_1": "1011 Honor Heights Dr Ste A",
"address_purpose": "LOCATION",
"city": "Muskogee",
"state": "OK",
"postal_code": "744011318",
"country_code": "US",
"telephone_number": "918-577-1722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PULCHNY",
"first_name": "KATHLEEN",
"middle_name": "L",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-25",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "73470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.