Individual provider Active NPI

Katrina D Saffold, REGISTERED NURSE

  • Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1467513267
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Practice address
2911 W Vliet St
Milwaukee, WI 53208-2432
Phone
(847) 682-0255
Fax
(414) 935-9445
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X WI Primary

Addresses

Primary practice location

2911 W Vliet St
Milwaukee, WI 53208-2432

Mailing address

2911 W Vliet St
Milwaukee, WI 53208-2432
Phone (847) 682-0255

Other identifiers 1

IdentifierTypeStateIssuer
38271500MedicaidWI

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

State licenses

LicenseStateTypeSpecialty
137142-030WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1467513267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 W VLIET ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082432",
            "telephone_number": "847-682-0255",
            "fax_number": "414-935-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 W VLIET ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082432",
            "telephone_number": "847-682-0255",
            "fax_number": "414-935-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFOLD",
        "first_name": "KATRINA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38271500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.