Individual provider Active NPI

Katherine M Erdwinn, MD

  • Psychiatry Physician
  • Chinle, AZ
National Provider Identifier
1336226554
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15183 Issued in NH
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.