Active NPI
Kathleen Lavan, RN
- General Practice Registered Nurse
- Oil City, PA
National Provider Identifier
1821750878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- RN598009
- Practice address
- 10 Vo Tech Dr
Oil City, PA 16301-3502 - Phone
- (814) 676-8686
- NPI assigned
- Oct 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN598009 | PA | Primary |
Addresses
Primary practice location
10 Vo Tech Dr
Oil City, PA 16301-3502
Mailing address
10 Vo Tech Dr
Oil City, PA 16301-3502
Phone (814) 676-8686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007538580005 | Medicaid | PA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | klavan@srcare.org | ||
| Direct Messaging Address | klavan@srcare.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN598009 | PA | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1821750878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 VO TECH DR",
"city": "OIL CITY",
"state": "PA",
"postal_code": "163013502",
"telephone_number": "814-676-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 VO TECH DR",
"city": "OIL CITY",
"state": "PA",
"postal_code": "163013502",
"telephone_number": "814-676-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVAN",
"first_name": "KATHLEEN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-07",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "PA",
"license": "RN598009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007538580005",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "klavan@srcare.org",
"affiliation": "N",
"address_1": "10 Vo Tech Dr",
"city": "Oil City",
"state": "PA",
"country_code": "US",
"postal_code": "163013502",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "klavan@srcare.org",
"affiliation": "N",
"address_1": "10 Vo Tech Dr",
"city": "Oil City",
"state": "PA",
"country_code": "US",
"postal_code": "163013502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oil City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.