Kaitlin Kinney Cleeter, MSN, RN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP129040 Issued in TX

Practice address

862 W Rusk St
Rockwall, TX 75087-3421

Phone

(972) 412-3034

Fax

(972) 412-3695

NPI assigned

Sep 15, 2015

Last updated

Feb 28, 2023By 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

Other names 1

• Mrs. Kaitlin Kinney Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Ray Hubbard Pediatrics

  • Pediatrics Physician
  • Rowlett, TX
  • NPI 1427061308
  NPD (past)

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1588033070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 W RUSK ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873421",
            "telephone_number": "972-412-3034",
            "fax_number": "972-412-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 W RUSK ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873421",
            "telephone_number": "972-412-3034",
            "fax_number": "972-412-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEETER",
        "first_name": "KAITLIN",
        "middle_name": "KINNEY",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP129040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "KINNEY",
            "prefix": "MRS.",
            "credential": "MSN, RN, CPNP-PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katie Clawson
• Clay H. Ainley DDS PC
• Alison Clayton, MCD CCC-SLP
• Clear Choice Imaging of Rockwall LLC
• Clear Sight Optometry PLLC
• Emily Grace Clem
• Laura Clemens, M.A. CCC-SLP
• Clements Counseling PLLC
• Chad C. Clements, MABC, MACE, LPC, NCC
• Rachel Kathleen Clements, M.S. CCC-SLP

• Pediatric Nurse Practitioner in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.