Active NPI
Kaitlyn Weighman, CNMT
- Nuclear Medicine Physician
- Mount Vernon, WA
National Provider Identifier
1003701780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 046146
- Practice address
- 300 S 14TH St
Mount Vernon, WA 98274 - Phone
- (360) 424-4111
- NPI assigned
- Jun 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 046146 | MI | Primary |
Addresses
Primary practice location
300 S 14TH St
Mount Vernon, WA 98274
Mailing address
4182 Fox Craft Dr
Traverse City, MI 49684-8603
Phone (571) 477-5812
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
| License | State | Type | Specialty |
|---|---|---|---|
| 046146 | MI | MD | Nuclear Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1003701780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4182 FOX CRAFT DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496848603",
"telephone_number": "571-477-5812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S 14TH ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "98274",
"telephone_number": "360-424-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIGHMAN",
"first_name": "KAITLYN",
"credential": "CNMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-11",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "MI",
"license": "046146",
"primary": true
}
],
"identifiers": [],
"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 Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.