Active NPI
Kaitlynn Noel Fisher, CPO
- Orthotist
- Charlotte, NC
National Provider Identifier
1326758988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 1041 Hawthorne LN Ste B
Charlotte, NC 28205-2915 - Phone
- (704) 333-4700
- Fax
- (704) 333-4707
- NPI assigned
- Dec 5, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | |||
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
1041 Hawthorne LN Ste B
Charlotte, NC 28205-2915
Mailing address
500 W Trade St Apt 427
Charlotte, NC 28202-3822
Phone (717) 514-2563
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claiborne Prosthetics & Orthotics | Current | Accepting new patients |
Locations
1041 Hawthorne Ln
#B
Charlotte, NC 28205
Phone (704) 333-4700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Charlotte, NC
- NPI 1396816104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1326758988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W TRADE ST APT 427",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282023822",
"telephone_number": "717-514-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 HAWTHORNE LN STE B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282052915",
"telephone_number": "704-333-4700",
"fax_number": "704-333-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "KAITLYNN",
"middle_name": "NOEL",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.