Kaitlin E Dykstra, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN00160640 Issued in WA

Practice address

310 SW 16TH St
Chehalis, WA 98532-3809

Phone

(360) 807-7200

NPI assigned

Oct 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1487318044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1022",
            "city": "TOLEDO",
            "state": "WA",
            "postal_code": "985911022",
            "telephone_number": "360-508-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SW 16TH ST",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323809",
            "telephone_number": "360-807-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA",
        "first_name": "KAITLIN",
        "middle_name": "E",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN00160640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Louise Drescher, M.A.
• Hervir Dulay, MD
• Dupree Optometry Inc
• David Wayne Dupree, OD
• Kevin Bumatay Duran, M.D.
• Lisa Marie Eckardt
• Educational Service District 113
• Cassaundra Edwards, LMP
• Kamilah Nichelle Edwards, MSW
• Eid, Jaber, Jassar, PLLC

• School Registered Nurse in Chehalis, WA
• Providers in Chehalis, WA by specialty
• School Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.