Active NPI
Kaitlyn Elizabeth Fillers, CSFA
- Surgical Assistant
- Cartersville, GA
National Provider Identifier
1316433154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 157270
- Practice address
- 15 Medical Dr NE Ste 201
Cartersville, GA 30121-8005 - Phone
- (770) 386-5221
- NPI assigned
- Jul 5, 2018
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 157270 | GA | Primary |
Addresses
Primary practice location
15 Medical Dr NE Ste 201
Cartersville, GA 30121-8005
Mailing address
15 Medical Dr NE Ste 201
Cartersville, GA 30121-8005
Phone (770) 386-5221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157270 | Other | GA | THE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157270 | GA | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1316433154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MEDICAL DR NE STE 201",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301218005",
"telephone_number": "770-386-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MEDICAL DR NE STE 201",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301218005",
"telephone_number": "770-386-5221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILLERS",
"first_name": "KAITLYN",
"middle_name": "ELIZABETH",
"credential": "CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "GA",
"license": "157270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING",
"identifier": "157270",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.