Active NPI
Kaitlin Elizabeth Kemp, MBA, MT-BC
- Music Therapist
- Indianapolis, IN
National Provider Identifier
1295532950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 11106
- Practice address
- 3414 Carica Dr
Indianapolis, IN 46203-6504 - Phone
- (317) 670-2069
- NPI assigned
- Feb 28, 2025
- 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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 11106 | IN | Primary |
Addresses
Primary practice location
3414 Carica Dr
Indianapolis, IN 46203-6504
Mailing address
3414 Carica Dr
Indianapolis, IN 46203-6504
Phone (317) 670-2069
Other names 1
- Kaitlin Elizabeth Blacklock
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11106 | IN | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1295532950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 CARICA DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462036504",
"telephone_number": "317-670-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 CARICA DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462036504",
"telephone_number": "317-670-2069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "KAITLIN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MBA, MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-28",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "IN",
"license": "11106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLIN",
"last_name": "BLACKLOCK",
"middle_name": "ELIZABETH",
"credential": "MT-BC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.