Active NPI
Laura Klosterman, R.N.
- Gerontology Registered Nurse
- Pataskala, OH
National Provider Identifier
1376763318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Registered Nurse
- License
- 21159964
- Practice address
- 284 Essex PL
Pataskala, OH 43062-7561 - Phone
- (614) 975-8053
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | 21159964 | OH | Primary |
Addresses
Primary practice location
284 Essex PL
Pataskala, OH 43062-7561
Mailing address
284 Essex PL
Pataskala, OH 43062-7561
Phone (614) 975-8053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2200399 | Medicaid | OH |
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 |
|---|---|---|---|
| 21159964 | OH | MD | Gerontology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1376763318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 ESSEX PL",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430627561",
"telephone_number": "614-975-8053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 ESSEX PL",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430627561",
"telephone_number": "614-975-8053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOSTERMAN",
"first_name": "LAURA",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "OH",
"license": "21159964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2200399",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pataskala, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.