Individual provider Active NPI

Kathleen Ostrander

  • Registered Nurse
  • Wilkes Barre, PA
National Provider Identifier
1881710093
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN263366L Issued in PA
Practice address
15 Public SQ
Suite 600
Wilkes Barre, PA 18701-1702
Phone
(570) 826-1777
Fax
(570) 823-3040
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN263366L PA Primary

Addresses

Primary practice location

15 Public SQ
Suite 600
Wilkes Barre, PA 18701-1702

Mailing address

15 Public SQ
Suite 600
Wilkes Barre, PA 18701-1702
Phone (570) 826-1777

Other identifiers 3

IdentifierTypeStateIssuer
1007678420038MedicaidPA
1016105170003MedicaidPA
1016105170002MedicaidPA

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

State licenses

LicenseStateTypeSpecialty
RN263366LPAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1881710093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PUBLIC SQ",
            "address_2": "SUITE 600",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011702",
            "telephone_number": "570-826-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PUBLIC SQ",
            "address_2": "SUITE 600",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011702",
            "telephone_number": "570-826-1777",
            "fax_number": "570-823-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTRANDER",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN263366L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007678420038",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016105170003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016105170002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.