Individual provider Active NPI

Kathleen Anne Cornelsen, RN

  • Home Health Registered Nurse
  • Reedley, CA
National Provider Identifier
1356564975
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN336307 Issued in CA
Practice address
9263 South Lacjac Ave
Reedley, CA 93654-9204
Phone
(559) 626-4819
NPI assigned
Apr 11, 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
Home Health Registered Nurse 163WH0200X RN336307 CA Primary

Addresses

Primary practice location

9263 South Lacjac Ave
Reedley, CA 93654-9204

Mailing address

9263 South Lac Jac Ave
Reedley, CA 93654-9204
Phone (559) 638-5633

Other identifiers 2

IdentifierTypeStateIssuer
EPS015280OtherCAMEDICAL CHILDREN
RVN003570OtherCAMEDICAL ADULT

Other names 1

  • Kathleen Anne Lohans Former name

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
RN336307CAMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356564975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9263 SOUTH LAC JAC AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936549204",
            "telephone_number": "559-638-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9263 SOUTH LACJAC AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936549204",
            "telephone_number": "559-626-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELSEN",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "RN336307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CHILDREN",
            "identifier": "EPS015280",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ADULT",
            "identifier": "RVN003570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "LOHANS",
            "middle_name": "ANNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reedley, 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.