Individual provider Active NPI

Christine Marie Kohnert, RN, BSN

  • Home Health Registered Nurse
  • Mount Vernon, WA
National Provider Identifier
1922442771
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN00053249 Issued in WA
Practice address
1502 Bernice St
Mount Vernon, WA 98274-5125
Phone
(360) 424-5914
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN00053249 WA Primary

Addresses

Primary practice location

1502 Bernice St
Mount Vernon, WA 98274-5125

Mailing address

1502 Bernice St
Mount Vernon, WA 98274-5125
Phone (360) 424-5914

Other identifiers 1

IdentifierTypeStateIssuer
163WH00000XMedicaidWA

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00053249WAMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1922442771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 BERNICE ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982745125",
            "telephone_number": "360-424-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 BERNICE ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982745125",
            "telephone_number": "360-424-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHNERT",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "RN00053249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163WH00000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.