Kaitlen Karolina Lee, REGISTERED NURSE

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

R47841 Issued in ND

Practice address

3362 119TH Ave SE
Valley City, ND 58072-9405

Phone

(701) 840-4630

NPI assigned

Mar 14, 2022

Last updated

Mar 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Kaitlen Karolina Uecker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1710635198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 9TH ST NW",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580722125",
            "telephone_number": "701-840-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3362 119TH AVE SE",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580729405",
            "telephone_number": "701-840-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KAITLEN",
        "middle_name": "KAROLINA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "ND",
            "license": "R47841",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "ND",
            "license": "R47841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLEN",
            "last_name": "UECKER",
            "middle_name": "KAROLINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Kohler, DNP, FNP-C
• Clark J Kruta, CRNA
• Tessa Lagein
• Kelsie Lynn Laizure
• Laura M Lassiter, D.C.
• Silvon Lee
• Traci L Lee
• Michael Graham Lentz, D.C.
• Frances Buelah Levers
• Dana Lindemann, LCSW

• Personal Care Attendant in Valley City, ND
• Providers in Valley City, ND by specialty
• Personal Care Attendant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.