Individual provider Active NPI

Tawna Lea Kiljander, RN CNOR RNFA

  • Registered Nurse First Assistant
  • Gillette, WY
National Provider Identifier
1801232210
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
21791 Issued in WY
Practice address
616 Arcadia Ave
Gillette, WY 82716-2230
Phone
(307) 660-7503
Fax
(307) 682-3432
NPI assigned
May 13, 2013
Last updated
Jun 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 21791 WY Primary

Addresses

Primary practice location

616 Arcadia Ave
Gillette, WY 82716-2230

Mailing address

616 Arcadia Ave
Gillette, WY 82716-2230
Phone (307) 660-7503

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
21791WYMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TK First Assisting Registered Nurse First Assistant Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1801232210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 ARCADIA AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827162230",
            "telephone_number": "307-660-7503",
            "fax_number": "307-682-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 ARCADIA AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827162230",
            "telephone_number": "307-660-7503",
            "fax_number": "307-682-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILJANDER",
        "first_name": "TAWNA",
        "middle_name": "LEA",
        "credential": "RN CNOR RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WY",
            "license": "21791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.