Individual provider Active NPI

Kaitlin Fitzgerald

  • Acupuncturist
  • Chino Valley, AZ
National Provider Identifier
1316713431
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
LAC-012237 Issued in AZ
Practice address
2692 Yavapai St
Chino Valley, AZ 86323-8210
Phone
(909) 573-9860
NPI assigned
Nov 29, 2023
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC19831 CA
Acupuncturist 171100000X LAC-012237 AZ Primary

Addresses

Primary practice location

2692 Yavapai St
Chino Valley, AZ 86323-8210

Mailing address

2692 Yavapai St
Chino Valley, AZ 86323-8210
Phone (909) 573-9860

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

State licenses

LicenseStateTypeSpecialty
LAC-012237AZMDAcupuncturist
AC19831CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Julia Catherine Simonton Acupuncture Center of la Jolla Acupuncturist CurrentSince Jun 23, 2024 Accepting new patients
Donna Keefe Acupuncturist PastSince Dec 3, 2023 Accepting new patients

Locations

8950 Villa La Jolla Dr
Ste B129
La Jolla, CA 92037
Phone (858) 450-0620

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1316713431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2692 YAVAPAI ST",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863238210",
            "telephone_number": "909-573-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2692 YAVAPAI ST",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863238210",
            "telephone_number": "909-573-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC19831",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-012237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.