Active NPI
Kaitlin King
- Social Worker
- Bloomington, IN
National Provider Identifier
1235505876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 645 N Walnut St
Bloomington, IN 47404-3846 - Phone
- (812) 336-3570
- Fax
- (812) 336-9010
- NPI assigned
- Aug 18, 2015
- Last updated
- Sep 3, 2015
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
645 N Walnut St
Bloomington, IN 47404-3846
Mailing address
PO Box 11
Bloomington, IN 47402-0011
Phone (812) 336-3570
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaitlin King, LLC. | Current | Accepting new patients | |
| Amethyst House | Past | Accepting new patients | |
| Amethyst House, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1235505876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474020011",
"telephone_number": "812-336-3570",
"fax_number": "812-336-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 N WALNUT ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043846",
"telephone_number": "812-336-3570",
"fax_number": "812-336-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.