Winona Clarice Kitzan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L11779 Issued in ND

Practice address

1141 W Owens Ave
Apt 107
Bismarck, ND 58501-1333

Phone

(701) 204-5128

NPI assigned

Oct 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1891246112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W OWENS AVE",
            "address_2": "APT 107",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011333",
            "telephone_number": "701-204-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W OWENS AVE",
            "address_2": "APT 107",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011333",
            "telephone_number": "701-204-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITZAN",
        "first_name": "WINONA",
        "middle_name": "CLARICE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ND",
            "license": "L11779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Anthony Kirchmeier
• Madison Kirsch, PMHNP
• Sara Kisse
• Shannon Kittleson, FNP
• Justun J Kitzan, LAC
• Damien Kiyana
• Rusty Alan Kjos, D.C.
• Lori Klabunde, PA-C
• Mallory Klatte
• Shealyn Marie Klave

• Licensed Practical Nurse in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Licensed Practical Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.