Active NPI
Katelyn Klitzke
- Physician Assistant
- Apple Valley, MN
National Provider Identifier
1851769442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11824
- Practice address
- 15051 Galaxie Ave
Apple Valley, MN 55124-6987 - Phone
- (866) 389-2727
- NPI assigned
- Sep 13, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11824 | MN | Primary |
Addresses
Primary practice location
15051 Galaxie Ave
Apple Valley, MN 55124-6987
Mailing address
15051 Galaxie Ave
Apple Valley, MN 55124-6987
Phone (866) 389-2727
Other names 1
- Katelyn Paulsen
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1851769442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15051 GALAXIE AVE",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551246987",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15051 GALAXIE AVE",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551246987",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLITZKE",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-13",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "11824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATELYN",
"last_name": "PAULSEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.