Individual provider Active NPI

Catherine Marie Krawiec, LPN

  • Licensed Practical Nurse
  • Bridgeton, NJ
National Provider Identifier
1477901312
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
26NP06079400 Issued in NJ
Practice address
30 Sheppard Dr
Bridgeton, NJ 08302-3858
Phone
(315) 558-8631
NPI assigned
Jun 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 26NP06079400 NJ Primary

Addresses

Primary practice location

30 Sheppard Dr
Bridgeton, NJ 08302-3858

Mailing address

30 Sheppard Dr
Bridgeton, NJ 08302-3858

Other identifiers 1

IdentifierTypeStateIssuer
26NP06079400OtherNJNJ OFFICE OF THE ATTORNEY GENERAL

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
26NP06079400NJMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1477901312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SHEPPARD DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SHEPPARD DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023858",
            "telephone_number": "315-558-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWIEC",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP06079400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ OFFICE OF THE ATTORNEY GENERAL",
            "identifier": "26NP06079400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.