Active NPI
Kaitlyn Mykal Kitsmiller
- Speech-Language Pathologist
- Bellevue, NE
National Provider Identifier
1386299980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 722
- Practice address
- 2600 Arboretum Dr
Bellevue, NE 68005-3501 - Phone
- (402) 293-4000
- NPI assigned
- Aug 9, 2019
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 722 | NE | Primary |
Addresses
Primary practice location
2600 Arboretum Dr
Bellevue, NE 68005-3501
Mailing address
PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 675-1853
Other practice location 1
620 N Diers Ave Ste 300
Grand Island, NE 68803-4985
Phone (308) 382-0344
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
| License | State | Type | Specialty |
|---|---|---|---|
| 722 | NE | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go Physical Therapy, LLC | Past | Accepting new patients |
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.
-
- Physical Therapist
- Grand Island, NE
- NPI 1184627911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1386299980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5285",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688025285",
"telephone_number": "308-675-1853",
"fax_number": "308-210-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 ARBORETUM DR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680053501",
"telephone_number": "402-293-4000"
}
],
"practiceLocations": [
{
"address_1": "620 N Diers Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Grand Island",
"state": "NE",
"postal_code": "688034985",
"country_code": "US",
"telephone_number": "308-382-0344",
"fax_number": "308-382-3241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITSMILLER",
"first_name": "KAITLYN",
"middle_name": "MYKAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-09",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.