Katelyn Nichole Magnuson, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN.1636216 Issued in CO

Practice address

1555 N 17TH Ave
Greeley, CO 80631-9117

Phone

(970) 304-6420

NPI assigned

Oct 17, 2017

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 Nichole Croissant Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1184135253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4672 W 20TH STREET RD UNIT 2224",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806348401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N 17TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806319117",
            "telephone_number": "970-304-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "KATELYN",
        "middle_name": "NICHOLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CO",
            "license": "RN.1636216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "CROISSANT",
            "middle_name": "NICHOLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel L Maddox, BA
• Ashley Madison
• Alexandra Leigh Maes, MA, NCC, LPC
• Gabriela Magana Silva
• Douglas Albin Magnuson, MD
• Mawerdi Ali Mahamud
• Lynsey Briane Mahlum, ARNP
• Phillip Ryan Mahunik, PT
• Chelsea Maier, PA-C
• Carolina Maine

• General Practice Registered Nurse in Greeley, CO
• Providers in Greeley, CO by specialty
• General Practice Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.