Kay Lyn Caccamo, RRT

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

30003676A Issued in IN

Practice address

11906 S Anthony Ext
Fort Wayne, IN 46819-9508

Phone

(260) 639-6338

NPI assigned

Jan 27, 2022

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

State licenses

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1104579580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11906 S ANTHONY EXT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468199508",
            "telephone_number": "260-639-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11906 S ANTHONY EXT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468199508",
            "telephone_number": "260-639-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCAMO",
        "first_name": "KAY",
        "middle_name": "LYN",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": "IN",
            "license": "30003676A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C & D Healthcare Services, LLC
• C Chase Ellinwood DDS LLC
• C J Pataluch OD PC
• Emmanuel C. Cabe, MD
• Maria Theresa A. Cabe, MD
• Vicki Eileen Caccamo, RPH
• Erin L Cade
• Kathleen Cade, NP
• Misty Marie Caenepeel, BCBA
• Jordyn Caffray, DDS

• Registered Respiratory Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Registered Respiratory Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.