Kaitlin Ivins

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

2005 City Line Rd Ste 300
Bethlehem, PA 18017-7701

Phone

(610) 865-8177

Fax

(610) 865-2764

NPI assigned

Jun 20, 2025

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

Practice roles

Locations

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.

• Woodling Corporation

  • Clinical Psychologist
  • Bethlehem, PA
  • NPI 1497719066
  NPD
• Quaker State Medical Services Co Inc

  • Non-Pharmacy Dispensing Site
  • Exton, PA
  • NPI 1629089578
  NPD (past)

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1265329460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 CITY LINE RD STE 300",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177701",
            "telephone_number": "610-865-8177",
            "fax_number": "610-865-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 CITY LINE RD STE 300",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177701",
            "telephone_number": "610-865-8177",
            "fax_number": "610-865-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVINS",
        "first_name": "KAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Z Islam, M.D.
• Sadia Islam, CRNP
• Zahid Islam, M.D.
• Narek Israelyan, MD
• Itnlehighvalley
• Kyleigh Ivory, M.ED BSL
• Julie L Iwanicki, MA
• Manny Subramania Iyer, M.D.
• J&M Medical Supply
• Gazal Jabir

• Medical Physician Assistant in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.