Kaitlin Tate

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2641 W Harrison St
Chicago, IL 60612-3420

Phone

(708) 264-1919

NPI assigned

Sep 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1441497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1295103323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 S LOOMIS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606435041",
            "telephone_number": "708-264-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123420",
            "telephone_number": "708-264-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Ridge St",
            "address_2": "Mcdonald Hall Room 4216",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434034301",
            "country_code": "US",
            "telephone_number": "708-359-9664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "KAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-06",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha Tate-Williams, APRN
• Antonio Tate, MSW
• Ashley Marie Tate
• Diane Tate, MD
• Jaclyn Tate, DPT
• Mariah Ashleigh Tate, MD
• Mary Tate, MD MPH
• Matthew Christopher Tate, M.D., PH.D.
• Remona Tate, OT
• Ken Tatebe, MD

• Athletic Trainer in Chicago, IL
• Providers in Chicago, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; 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.