Kaitlyn Wood, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

673597 Issued in NY

Practice address

91 Fiddlers LN
Latham, NY 12110-5343

Phone

(518) 785-8591

NPI assigned

Sep 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Kaitlyn Thibodeau Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• North Colonie Central School District

  • School Registered Nurse
  • Latham, NY
  • NPI 1114687811
  NPD
• North Colonie Central School District

  • Pediatric Skilled Nursing Facility
  • Latham, NY
  • NPI 1235597659
  NPD (past)

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1497531453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 FIDDLERS LN",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121105343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 FIDDLERS LN",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121105343",
            "telephone_number": "518-785-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KAITLYN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "673597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03052893",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "THIBODEAU",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert K Wind
• Leah Michelle Winner, PHARMD
• Kate Alison Woll, MD
• Womens Health Care Associates PC
• Winston Wong
• Cynthia Marie Wormuth, M.A., CCC-SLP
• Deborah Anne Wright, RPA-C
• Samantha Wright, MS, BCBA, LBA
• Fei Yang Xu
• Mary Ann Yaconis, LMHC

• School Registered Nurse in Latham, NY
• Providers in Latham, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.