Kaitlyn Michelle Waltsgott

Primary specialty

PharmacistTaxonomy code 183500000X

License

2023046729 Issued in MO

Practice address

7437 Watson Rd
Saint Louis, MO 63119-4415

Phone

(314) 687-1215

NPI assigned

Nov 29, 2023

Last updated

Nov 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1356117568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 W 4TH ST",
            "city": "AVISTON",
            "state": "IL",
            "postal_code": "622163459",
            "telephone_number": "618-616-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7437 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194415",
            "telephone_number": "314-687-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTSGOTT",
        "first_name": "KAITLYN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2023046729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysty Ann Walton, MA
• Naiya Walton
• Reagan Walton
• Timothy P Walton, MSN, RN, CPNP
• Amanda Nicole Waltos Hieger, MD
• Shannon Lea Waltsgott, R.PH
• Bruce J Walz, MD
• William Walz
• Jennifer Anne Wambach, MD
• Emily Katherine Wambold, PNP

• Pharmacist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.