Kaitlyn Beach

Key facts

NPI

1649102005

Entity type

Individual (NPI type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program 390200000X

Practice address

1049 Roquemore Dr
Orangeburg, SC 29115-8936

Phone

(803) 216-5150

NPI assigned

Jun 1, 2026

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 1, 2026.

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1649102005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 THUNDER CIR",
            "city": "SANTEE",
            "state": "SC",
            "postal_code": "291429440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 ROQUEMORE DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291158936",
            "telephone_number": "803-216-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "KAITLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

• Lasaundra J Barron
• Mauricio Bassante, MD
• John Ronald Bates, LPC-A
• George Thomas Bayer, MD
• Jazman Ethel Beach, M.D.
• Lateisha Chanette Beard
• Noah Wesley Bearden, DC
• Touray K Beaton Jr.
• Anetra Beaufort, MA,CFY-SLP
• Gary Robert Beaumont, CRNA

All providers in Orangeburg, SC · Student in an Organized Health Care Education/Training Program in South Carolina