Kaitlyn Everson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

364 S Park St
Walla Walla, WA 99362-3249

Phone

(509) 527-3000

Fax

(509) 527-3000

NPI assigned

Feb 9, 2018

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

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1568961050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 TAUSICK WAY",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622648",
            "telephone_number": "425-760-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 S PARK ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623249",
            "telephone_number": "509-527-3000",
            "fax_number": "509-527-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERSON",
        "first_name": "KAITLYN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Elizabeth Evanger-Dalke, O.D.
• Darcie Evans
• Kylin Annalysa Evans
• Levi A Evans, MD
• Amy Evensen, MA
• Eye & Laser Physicians of Walla Walla
• Chelane R Fackenthall, ARNP
• John Anton Fackenthall, D.O.
• Travis Christoph Fagala, DENTURIST
• Cynthia Marie Failor, RN

• Occupational Therapist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.