Kaitlin Renee Lamison, MT-BC

Primary specialty

Music TherapistTaxonomy code 225A00000X

Practice address

2101 Fillmore St
Fort Wayne, IN 46802-5014

Phone

(724) 317-8489

NPI assigned

May 29, 2013

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1104263201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 DEVAN AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FILLMORE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468025014",
            "telephone_number": "724-317-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMISON",
        "first_name": "KAITLIN",
        "middle_name": "RENEE",
        "credential": "MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Music Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Music Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.