Kaitlyn Rose Lundeen

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

61429013 Issued in WA

Practice address

2611 S Dearborn St
Seattle, WA 98144-3013

Phone

(206) 712-6500

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1083303663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SW 5TH CT APT I306",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572367",
            "telephone_number": "715-718-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 S DEARBORN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443013",
            "telephone_number": "206-712-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDEEN",
        "first_name": "KAITLYN",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "61429013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ellen Lundberg, ARNP
• Scott J Lundberg
• Rebecca A Lundborg, MS, RD, CD, CNSC
• Kathryn Rose Lunde, ARNP, DNP
• Rebecca Rachelle Lunde
• Anne Lunden
• Katie B Lunden, LMHC, MA
• Annette Lunderville, RN
• Amy Lundgren, PHD
• Josephine Lynn Lundgren

• Physical Therapy Assistant in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.