Active NPI
Kaitlyn Taylor Medellin
- Student in an Organized Health Care Education/Training Program
- Bakersfield, CA
National Provider Identifier
1497477442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 917 Lost Trail Way
Bakersfield, CA 93307-7142 - Phone
- (614) 436-6161
- NPI assigned
- Sep 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary |
Addresses
Primary practice location
917 Lost Trail Way
Bakersfield, CA 93307-7142
Mailing address
917 Lost Trail Way
Bakersfield, CA 93307-7142
Phone (661) 436-6161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y2010821 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kaitlyn.medellin@icloud.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1497477442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 LOST TRAIL WAY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933077142",
"telephone_number": "661-436-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 LOST TRAIL WAY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933077142",
"telephone_number": "614-436-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDELLIN",
"first_name": "KAITLYN",
"middle_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-16",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Y2010821",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kaitlyn.medellin@icloud.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "917 Lost Trail Way",
"city": "Bakersfield",
"state": "CA",
"country_code": "US",
"postal_code": "933077142",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.