Kaitlyn Francis Herwat, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001815 Issued in MI

Practice address

206 Page Ave
Jackson, MI 49201-2418

Phone

(517) 930-2508

NPI assigned

Nov 6, 2017

Last updated

Nov 6, 2017By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1538672134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 FRANCIS ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035435",
            "telephone_number": "517-930-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 PAGE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012418",
            "telephone_number": "517-930-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERWAT",
        "first_name": "KAITLYN",
        "middle_name": "FRANCIS",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Jackson, MI
• Providers in Jackson, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.