Individual provider Active NPI

Payton Nicole Kahler, LPN

  • Licensed Practical Nurse
  • Wahpeton, ND
National Provider Identifier
1942893573
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L17079 Issued in ND
Practice address
387 11TH St S Ofc 2
Wahpeton, ND 58075-4677
Phone
(701) 642-2336
Fax
(701) 671-9017
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L17079 ND Primary

Addresses

Primary practice location

387 11TH St S Ofc 2
Wahpeton, ND 58075-4677

Mailing address

387 11TH St S Ofc 2
Wahpeton, ND 58075-4677
Phone (701) 642-2336

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
L17079NDMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
White Drug Co of Jamestown Inc PastSince Feb 21, 2021 Accepting new patients
White Drug Co of Jamestown Inc PastSince Feb 21, 2021 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": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1942893573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 11TH ST S OFC 2",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754677",
            "telephone_number": "701-642-2336",
            "fax_number": "701-671-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 11TH ST S OFC 2",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754677",
            "telephone_number": "701-642-2336",
            "fax_number": "701-671-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLER",
        "first_name": "PAYTON",
        "middle_name": "NICOLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ND",
            "license": "L17079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahpeton, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.