Individual provider Active NPI

Kathyrn Elisabeth Klawitter, R.N.

  • Emergency Registered Nurse
  • Fort Irwin, CA
National Provider Identifier
1336346261
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
697401 Issued in CA
Practice address
Innerloop Rd and 4TH St
USA Meddac BLDG 166
Fort Irwin, CA 92310
Phone
(760) 386-3114
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 697401 CA Primary

Addresses

Primary practice location

Innerloop Rd and 4TH St
USA Meddac BLDG 166
Fort Irwin, CA 92310

Mailing address

2444 Mitchell Ave
Clovis, CA 93611
Phone (559) 392-1482

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
697401CAMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336346261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 MITCHELL AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "93611",
            "telephone_number": "559-392-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INNERLOOP RD AND 4TH ST",
            "address_2": "USA MEDDAC BLDG 166",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-386-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAWITTER",
        "first_name": "KATHYRN",
        "middle_name": "ELISABETH",
        "name_prefix": "Miss",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "697401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Irwin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.