Individual provider Active NPI

Kathleen Leslie Dunn, MS, RN, CRRN-A, CNS

  • Rehabilitation Clinical Nurse Specialist
  • San Diego, CA
National Provider Identifier
1487604914
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinical Nurse SpecialistTaxonomy code 364SR0400X
License
RN246074 Issued in CA
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

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN246074CAMDClinical 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.

Verify at the official NPI Registry.