Active NPI
Kaitlyn Marie Jauregui, LMSW
- Social Worker
- Wichita, KS
National Provider Identifier
1295317550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11442
- Practice address
- 1028 E 1St St N
Wichita, KS 67214-3903 - Phone
- (620) 222-0927
- NPI assigned
- Apr 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 11442 | KS | Primary |
Addresses
Primary practice location
1028 E 1St St N
Wichita, KS 67214-3903
Mailing address
2439 E Quivira St
Kechi, KS 67067-8903
Phone (620) 222-2966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240906001525 | KS | Practitioner - Clinical Social Worker | 4284174129 | Practice locations: Wichita, KS |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11442 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1295317550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2439 E QUIVIRA ST",
"city": "KECHI",
"state": "KS",
"postal_code": "670678903",
"telephone_number": "620-222-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 E 1ST ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143903",
"telephone_number": "620-222-0927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAUREGUI",
"first_name": "KAITLYN",
"middle_name": "MARIE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2021-04-26",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "11442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.