Individual provider Active NPI

Kaylynn Cataldo, RN

  • General Practice Physician
  • Peru, IN
National Provider Identifier
1437844479
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
28241508A Issued in IN
Practice address
1496 W Hoosier Blvd
Peru, IN 46970-3727
Phone
(765) 472-8907
Fax
(765) 677-5175
NPI assigned
Apr 6, 2023
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 28241508A IN Primary

Addresses

Primary practice location

1496 W Hoosier Blvd
Peru, IN 46970-3727

Mailing address

1496 W Hoosier Blvd
Peru, IN 46970-3727
Phone (765) 472-8907

Other names 1

  • Kaylynn Condry 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
28241508AINMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1437844479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 W HOOSIER BLVD",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469703727",
            "telephone_number": "765-472-8907",
            "fax_number": "765-677-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 W HOOSIER BLVD",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469703727",
            "telephone_number": "765-472-8907",
            "fax_number": "765-677-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATALDO",
        "first_name": "KAYLYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "28241508A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLYNN",
            "last_name": "CONDRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peru, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.