Individual provider Active NPI

Kaitlyn Jo Cartwright, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Lexington, KY
National Provider Identifier
1467943274
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
59768 Issued in KY
Practice address
2195 Harrodsburg Rd FL 2
Lexington, KY 40504-3516
Phone
(859) 562-1868
Fax
(859) 257-0421
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301114951 MI
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 59768 KY Primary

Addresses

Primary practice location

2195 Harrodsburg Rd FL 2
Lexington, KY 40504-3516

Mailing address

1500 E Medical Center Dr
MPB #D3230
Ann Arbor, MI 48109-5000
Phone (734) 647-1774

Other practice location 1

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 647-1774

Other names 1

  • Kaitlyn Jo Braun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917002563 KY Practitioner - Neurology 9739435603 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59768KYMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Jul 23, 2024 Accepting new patients
Kentucky Medical Services Foundation, Inc Pediatrics CurrentSince Jul 23, 2024 Accepting new patients
University of Kentucky Past Accepting new patients
Commission for Children With Special Health Car Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2195 Harrodsburg Rd
Ste 2
Lexington, KY 40504
Phone (859) 323-8082

2195 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 323-2232

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1467943274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "MPB #D3230",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000",
            "telephone_number": "734-647-1774",
            "fax_number": "734-763-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 HARRODSBURG RD FL 2",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043516",
            "telephone_number": "859-562-1868",
            "fax_number": "859-257-0421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095000",
            "country_code": "US",
            "telephone_number": "734-647-1774",
            "fax_number": "734-763-4208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTWRIGHT",
        "first_name": "KAITLYN",
        "middle_name": "JO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301114951",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "KY",
            "license": "59768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "BRAUN",
            "middle_name": "JO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.