Active NPI
Katherine M Erdwinn, MD
- Psychiatry Physician
- Chinle, AZ
National Provider Identifier
1336226554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15183
- Practice address
- Corner of Hwy 191 and Ir 102
Indian Health Service, Chinle Comprehensive Health Care
Chinle, AZ 86503 - Phone
- (928) 674-7383
- Fax
- (928) 674-7600
- NPI assigned
- Nov 1, 2006
- Last updated
- Jun 1, 2012
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 15183 | NH | Primary |
Addresses
Primary practice location
Corner of Hwy 191 and Ir 102
Indian Health Service, Chinle Comprehensive Health Care
Chinle, AZ 86503
Mailing address
P.O Drawer PH
Chinle Comprehensive Health Care Facility
Chinle, AZ 86503
Phone (928) 674-7383
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1336226554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O DRAWER PH",
"address_2": "CHINLE COMPREHENSIVE HEALTH CARE FACILITY",
"city": "CHINLE",
"state": "AZ",
"postal_code": "86503",
"telephone_number": "928-674-7383",
"fax_number": "928-674-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF HWY 191 AND IR 102",
"address_2": "INDIAN HEALTH SERVICE, CHINLE COMPREHENSIVE HEALTH CARE",
"city": "CHINLE",
"state": "AZ",
"postal_code": "86503",
"telephone_number": "928-674-7383",
"fax_number": "928-674-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDWINN",
"first_name": "KATHERINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "15183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chinle, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.