Active NPI
Kathryn Jean Traven, FNP
- Family Nurse Practitioner
- Sault Sainte Marie, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704297976
- Practice address
- 500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822 - Phone
- (906) 635-4460
- NPI assigned
- Jun 29, 2023
- Last updated
- Dec 2, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704297976 | MI | Primary |
Addresses
Primary practice location
500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822
Mailing address
3582 E 4 Mile Rd
Sault Sainte Marie, MI 49783-9124
Phone (906) 440-5283
Other practice location 1
1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 417-6050
Other names 1
- Kathryn J Mitchell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Michigan Medical School, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 417-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704297976 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Otsego Memorial Hospital | Family | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Past | Accepting new patients |
Locations
829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
1619 Anderson Rd
Petoskey, MI 49770
Phone (231) 417-6000
Interoperability endpoints
- kjuntunen142400@mymichiganhealth.midirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Munson Healthcare OMH Medical Group-Gaylord RHC
- Rural Health Clinic/Center
- Gaylord, MI
- NPI 1164628426
-
- Family Medicine Physician
- Petoskey, MI
- NPI 1639986565
-
dba MHC Great Lakes Plastic Surgery & Skin Center- Petoskey
- Plastic Surgery Physician
- Petoskey, MI
- NPI 1770374530
-
dba Munson Healthcare OMH Medical Group-Gaylord
- General Practice Physician
- Gaylord, MI
- NPI 1821064643
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1487331641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3582 E 4 MILE RD",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497839124",
"telephone_number": "906-440-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 OSBORN BLVD",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497831822",
"telephone_number": "906-635-4460"
}
],
"practiceLocations": [
{
"address_1": "1619 Anderson Rd",
"address_purpose": "LOCATION",
"city": "Petoskey",
"state": "MI",
"postal_code": "497709256",
"country_code": "US",
"telephone_number": "231-417-6050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAVEN",
"first_name": "KATHRYN",
"middle_name": "JEAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-29",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704297976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "MITCHELL",
"middle_name": "J",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sault Sainte Marie, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.