Active NPI
Katherine M Kohler, CRNA
- Certified Registered Nurse Anesthetist
- Lakeville, MN
National Provider Identifier
1942551163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1893
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 408 | AK | MD | Professional Counselor |
| 2333746 | MN | MD | Registered Nurse |
| 1893 | MN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairbanks Anesthesia Inc. | Past | Accepting new patients | |
| Jeffery a. Kohler, Jr., DDS PLLC | Past | 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.
-
- Dental Clinic/Center
- Lakeville, MN
- NPI 1144743808
-
- Anesthesiology Physician
- Fairbanks, AK
- NPI 1629098140
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.