Kaitlin Rae Nastassja Pam, MSN,APRN,PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0040600 Issued in OH

Practice address

3145 Earlington LN
Reynoldsburg, OH 43068-4094

Phone

(513) 846-3819

NPI assigned

Nov 26, 2025

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

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1720940844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 EARLINGTON LN",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684094",
            "telephone_number": "513-846-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 EARLINGTON LN",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684094",
            "telephone_number": "513-846-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAM",
        "first_name": "KAITLIN",
        "middle_name": "RAE NASTASSJA",
        "credential": "MSN,APRN,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0040600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig S Oyler, DC
• Corynn Elizabeth Ozenghar
• Misty Dawn Painter, R.N.
• Palermo-Edwards and Cacchillo, DDS, Inc
• Jasmine Palmer
• Sarah Paolini, PHARMD
• Claire Marie Pappa, MD
• Paradise Healthcare, LLC
• Paradise Healthcare, LLC
• Sabitha Parasa, DMD

• Psychiatric/Mental Health Nurse Practitioner in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.