Kaitlyn Deering

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT618 Issued in ME

Practice address

111 South St
Farmington, ME 04938-6823

Phone

(207) 778-7147

NPI assigned

Dec 5, 2017

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": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1154836773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MARCEAU CT APT 5B",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049381943",
            "telephone_number": "207-313-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SOUTH ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386823",
            "telephone_number": "207-778-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEERING",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ME",
            "license": "AT618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Davis, LCSW
• Timothy D Davis, PA-C
• Ronald Edward Deane Jr.
• Heather L Decarolis, DO
• Michael Stephen Decarolis, DO
• Brent Patrick Dellarma, P.T.A.
• Cristi Canali Demarco, LIC. AC.
• Ryan David Demmendaal, MD
• Rebecca Dennison, LMSW-C
• Rosalie L Deri, LCSW

• Athletic Trainer in Farmington, ME
• Providers in Farmington, ME by specialty
• Athletic Trainer in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.