Individual provider Active NPI

Kaitlyn Ann Pumper, RN, BSN

  • Registered Nurse
  • Mankato, MN
National Provider Identifier
1518587542
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R232388-2 Issued in MN
Practice address
1961 Premier Dr Ste 340
Mankato, MN 56001-6839
Phone
(507) 345-8591
Fax
(507) 345-5023
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R232388-2 MN Primary

Addresses

Primary practice location

1961 Premier Dr Ste 340
Mankato, MN 56001-6839

Mailing address

1961 Premier Dr Ste 340
Mankato, MN 56001-6839
Phone (507) 345-8591

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R232388-2MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Adara Home Health, Inc. PastSince Apr 26, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1518587542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 PREMIER DR STE 340",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016839",
            "telephone_number": "507-345-8591",
            "fax_number": "507-345-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 PREMIER DR STE 340",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016839",
            "telephone_number": "507-345-8591",
            "fax_number": "507-345-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMPER",
        "first_name": "KAITLYN",
        "middle_name": "ANN",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R232388-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.