Kaitlyn Nicole Washburn, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4052655 Issued in TX

Practice address

900 Jerome St Ste 400
Fort Worth, TX 76104-3942

Phone

(817) 332-6092

Fax

(817) 402-7731

NPI assigned

Oct 17, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1518834324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JEROME ST STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043942",
            "telephone_number": "817-332-6092",
            "fax_number": "817-402-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JEROME ST STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043942",
            "telephone_number": "817-332-6092",
            "fax_number": "817-402-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "KAITLYN",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "4052655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Mae Warthan, M.D.
• Dorcas Waruingi
• Mary Waruta, LPC
• Emily E Wascomb, DPT
• Laura Wasek-Throm, DMD,MPH
• Katie Michelle Washburn, PHARMD
• Lindsey R. Washburn, PA
• Andrea Mechelle Washington Blackshear
• Rachel Jannette Washington-Childers, M. ED., LPC
• Aaron Shane Washington, PA-C

• Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.