Individual provider Active NPI

Katherine M Kohler, CRNA

  • Certified Registered Nurse Anesthetist
  • Lakeville, MN
National Provider Identifier
1942551163
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1893 Issued in MN
Practice address
17600 Cedar Ave
Lakeville, MN 55044-6339
Phone
(952) 232-4185
NPI assigned
Sep 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 34278 AK
Registered Nurse 163W00000X 2333746 MN
Certified Registered Nurse Anesthetist 367500000X 408 AK
Certified Registered Nurse Anesthetist 367500000X 1893 MN Primary

Addresses

Primary practice location

17600 Cedar Ave
Lakeville, MN 55044-6339

Mailing address

17600 Cedar Ave
Lakeville, MN 55044-6339
Phone (402) 206-1117

Other practice location 1

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (603) 212-9844

Other practice location 2

1650 Cowles St
Fairbanks, AK 99701-5999
Phone (907) 388-6852

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
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
408AKMDProfessional Counselor
2333746MNMDRegistered Nurse
1893MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks Anesthesia Inc. PastSince Jan 1, 2000 Accepting new patients
Jeffery a. Kohler, Jr., DDS PLLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1942551163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 CEDAR AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446339",
            "telephone_number": "402-206-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 CEDAR AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446339",
            "telephone_number": "952-232-4185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Smith Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022344",
            "country_code": "US",
            "telephone_number": "603-212-9844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Cowles St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997015999",
            "country_code": "US",
            "telephone_number": "907-388-6852",
            "fax_number": "888-398-3821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "34278",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2333746",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "408",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "1893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.