Active NPI
Kaitlyn Lyell Burnette, DC
- Chiropractor
- Seattle, WA
National Provider Identifier
1154805745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60833134
- Practice address
- 400 N 34TH St Ste 204
Seattle, WA 98103-8600 - Phone
- (206) 536-3500
- Fax
- (206) 536-3505
- NPI assigned
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60833134 | WA | Primary |
Addresses
Primary practice location
400 N 34TH St Ste 204
Seattle, WA 98103-8600
Mailing address
10500 Meridian Ave N Apt A105
Seattle, WA 98133-9534
Phone (919) 332-3465
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 |
|---|---|---|---|
| CH60833134 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Medical Group | Chiropractor | Past | 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": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1154805745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10500 MERIDIAN AVE N APT A105",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981339534",
"telephone_number": "919-332-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N 34TH ST STE 204",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038600",
"telephone_number": "206-536-3500",
"fax_number": "206-536-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETTE",
"first_name": "KAITLYN",
"middle_name": "LYELL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60833134",
"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 Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.