Individual provider Active NPI

Kaitlin Kohut, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Hauppauge, NY
National Provider Identifier
1255910543
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Practice address
140 Adams Ave Ste B13
Hauppauge, NY 11788-3618
Phone
(631) 617-6011
NPI assigned
Apr 5, 2021
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Primary

Addresses

Primary practice location

140 Adams Ave Ste B13
Hauppauge, NY 11788-3618

Mailing address

50 Saw Mill Rd Unit 1108
Danbury, CT 06810-5143
Phone (631) 504-1499

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kjkohut@smsneuro.com

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

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1255910543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SAW MILL RD UNIT 1108",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105143",
            "telephone_number": "631-504-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ADAMS AVE STE B13",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883618",
            "telephone_number": "631-617-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHUT",
        "first_name": "KAITLIN",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjkohut@smsneuro.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "140 Adams Ave Ste B13",
            "city": "Hauppauge",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117883618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

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