Individual provider Active NPI

Kaitlin Klem, RN, BSN

  • Durable Medical Equipment & Medical Supplies
  • Saint Helens, OR
National Provider Identifier
1790376903
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
139 N 21St St
Saint Helens, OR 97051-6217
Phone
(503) 369-2460
NPI assigned
Jan 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OR Primary

Addresses

Primary practice location

139 N 21St St
Saint Helens, OR 97051-6217

Mailing address

PO Box 1566
Saint Helens, OR 97051-0917
Phone (503) 369-2460

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

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Journey, LLC CurrentSince Jan 21, 2024 Accepting new patients
Comforting Medical Supply, LLC Durable Medical Equipment & Medical Supplies CurrentSince Mar 7, 2021 Accepting new patients

Locations

139 N 21st St
Saint Helens, OR 97051
Phone (503) 369-2460

Organizations & group practices 2

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": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1790376903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1566",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970510917",
            "telephone_number": "503-369-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N 21ST ST",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516217",
            "telephone_number": "503-369-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEM",
        "first_name": "KAITLIN",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helens, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.