Individual provider Active NPI

Kaitlyn Crystal Starrs

  • Pediatrics Physician
  • Littlestown, PA
National Provider Identifier
1629955760
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
SP022097 Issued in PA
Practice address
40 Matthew CT
Littlestown, PA 17340-9190
Phone
(717) 202-9177
NPI assigned
Aug 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X SP022097 PA Primary

Addresses

Primary practice location

40 Matthew CT
Littlestown, PA 17340-9190

Mailing address

40 Matthew CT
Littlestown, PA 17340-9190
Phone (717) 202-9177

Other names 1

  • Kaitlyn Crystal Proschold Former name

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

LicenseStateTypeSpecialty
SP022097PAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774137600000",
    "number": "1629955760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MATTHEW CT",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173409190",
            "telephone_number": "717-202-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MATTHEW CT",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173409190",
            "telephone_number": "717-202-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARRS",
        "first_name": "KAITLYN",
        "middle_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "SP022097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "PROSCHOLD",
            "middle_name": "CRYSTAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Littlestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; 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.