Active NPI
Kathleen Leslie Dunn, MS, RN, CRRN-A, CNS
- Rehabilitation Clinical Nurse Specialist
- San Diego, CA
National Provider Identifier
1487604914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinical Nurse Specialist
- License
- RN246074
- Practice address
- VA San Diego HS (128)
3350 La Jolla Village Dr
San Diego, CA 92161-0001 - Phone
- (858) 642-3185
- Fax
- (858) 552-4315
- NPI assigned
- May 12, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN246074 | CA | |
| Rehabilitation Registered Nurse | 163WR0400X | RN246074 | CA | |
| Clinical Nurse Specialist | 364S00000X | RN246074 | CA | |
| Rehabilitation Clinical Nurse Specialist | 364SR0400X | RN246074 | CA | Primary |
Addresses
Primary practice location
VA San Diego HS (128)
3350 La Jolla Village Dr
San Diego, CA 92161-0001
Mailing address
5907 Charing St
San Diego, CA 92117-4122
Phone (858) 292-1366
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
- Certified Nurse Specialist, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN246074 | CA | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1487604914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5907 CHARING ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921174122",
"telephone_number": "858-292-1366",
"fax_number": "858-552-4315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA SAN DIEGO HS (128)",
"address_2": "3350 LA JOLLA VILLAGE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921610001",
"telephone_number": "858-642-3185",
"fax_number": "858-552-4315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "KATHLEEN",
"middle_name": "LESLIE",
"name_prefix": "Ms.",
"credential": "MS, RN, CRRN-A, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "CA",
"license": "RN246074",
"primary": false
},
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "CA",
"license": "RN246074",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "CA",
"license": "RN246074",
"primary": false
},
{
"code": "364SR0400X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Rehabilitation",
"state": "CA",
"license": "RN246074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.