Active NPI
Kaitlyn Michele Lamphere, AT, ATC
- Athletic Trainer
- Grand Haven, MI
National Provider Identifier
1598126047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601001644
- Practice address
- 17001 Ferris St
Grand Haven, MI 49417-9441 - Phone
- (616) 850-6033
- Fax
- (616) 850-6011
- NPI assigned
- Mar 11, 2016
- Last updated
- Dec 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601001644 | MI | Primary |
Addresses
Primary practice location
17001 Ferris St
Grand Haven, MI 49417-9441
Mailing address
18000 Cove St Ste 202
Spring Lake, MI 49456-1383
Phone (616) 847-1280
Other practice location 1
18000 Cove St Ste 202
Spring Lake, MI 49456-1383
Phone (616) 847-1280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601001644 | MI | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoreline Sport & Spine PLLC | Past | Accepting new patients | |
| Shoreline Sport & Spine PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577145600000",
"number": "1598126047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 COVE ST STE 202",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494561383",
"telephone_number": "616-847-1280",
"fax_number": "616-847-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17001 FERRIS ST",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494179441",
"telephone_number": "616-850-6033",
"fax_number": "616-850-6011"
}
],
"practiceLocations": [
{
"address_1": "18000 Cove St Ste 202",
"address_purpose": "LOCATION",
"city": "Spring Lake",
"state": "MI",
"postal_code": "494561383",
"country_code": "US",
"telephone_number": "616-847-1280",
"fax_number": "616-847-1290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAMPHERE",
"first_name": "KAITLYN",
"middle_name": "MICHELE",
"credential": "AT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-11",
"last_updated": "2019-12-24",
"certification_date": "2019-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601001644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.