Individual provider Active NPI

Caledonia Kathleen Gerner

  • Nurse's Aide
  • Seattle, WA
National Provider Identifier
1992347835
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
NC61004881 Issued in WA
Practice address
1902 2ND Ave Ste 208
Seattle, WA 98101-1186
Phone
(206) 956-9570
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NC61004881 WA Primary

Addresses

Primary practice location

1902 2ND Ave Ste 208
Seattle, WA 98101-1186

Mailing address

1902 2ND Ave Ste 208
Seattle, WA 98101-1186
Phone (206) 956-9570

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
NC61004881WAMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Community Services of Western Washington PastSince Oct 13, 2019 Accepting new patients

Organizations & group practices 1

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": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1992347835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 2ND AVE STE 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011186",
            "telephone_number": "206-956-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 2ND AVE STE 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011186",
            "telephone_number": "206-956-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERNER",
        "first_name": "CALEDONIA",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "NC61004881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.