Kirk Gatlin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

89612 Issued in OK

Practice address

19 Lakes St
Colville Service Unit
Nespelem, WA 99155

Phone

(509) 634-2913

Fax

(509) 634-2946

NPI assigned

Jun 14, 2016

Sex

Male

Sole proprietor

No

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, last updated by the provider on Jun 14, 2016.

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1194175828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LAKES ST",
            "address_2": "COLVILLE SERVICE UNIT",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "99155",
            "telephone_number": "509-634-2913",
            "fax_number": "509-634-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATLIN",
        "first_name": "KIRK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "89612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Duncan
• Rayna J Edwards, EMT-B
• Phyllis J Erickson, RC
• Lawrence J Fry Sr., CDP
• Andrea Gatlin, RN
• Dawn Elaine George, RN
• Suzanne Conrad Gnaegy, D.O
• Jose Javier Gomez, PHD
• Lorinda Ann Goodman, EMT-B
• Richard Lavern Gorr, EMT-B

• All providers in Nespelem, WA
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.