Kaitlin Butler

Individual provider Active NPI Registered Nurse · Bedford, PA

NPI 1356005177 · NPPES record last updated Oct 27, 2021

Key facts

NPI
1356005177
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
683965 (PA)
Practice address
9709 Lincoln Hwy
Bedford, PA 15522-3717
Phone
(814) 652-3220
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
683965PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Care Partnership, Inc. Past
since Oct 31, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 683965 PA Yes

Addresses

Primary practice location

9709 Lincoln Hwy
Bedford, PA 15522-3717

Mailing address

9709 Lincoln Hwy
Bedford, PA 15522-3717

Other providers in Bedford, PA

All providers in Bedford, PA · Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.