Active NPI
Kathryn Shaffer, RN
- Registered Nurse
- Winterhaven, CA
National Provider Identifier
1346404134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- E38175
- Practice address
- One Indian Hill Road
Winterhaven, CA 92283 - Phone
- (760) 572-4159
- Fax
- (760) 572-4183
- NPI assigned
- Jul 11, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | E38175 | CT | Primary |
Addresses
Primary practice location
One Indian Hill Road
Winterhaven, CA 92283
Mailing address
PO Box 1368
Yuma, AZ 85366-1368
Phone (760) 572-4159
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
| License | State | Type | Specialty |
|---|---|---|---|
| E38175 | CT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1346404134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1368",
"city": "YUMA",
"state": "AZ",
"postal_code": "853661368",
"telephone_number": "760-572-4159",
"fax_number": "760-572-4183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE INDIAN HILL ROAD",
"city": "WINTERHAVEN",
"state": "CA",
"postal_code": "92283",
"telephone_number": "760-572-4159",
"fax_number": "760-572-4183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "KATHRYN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-11",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "E38175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winterhaven, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.