Kaitlin Elizabeth Devine, LMT

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

20599 Issued in OR

Practice address

1505 Water St NE
Salem, OR 97301-6467

Phone

(503) 507-6443

NPI assigned

Mar 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1780141390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N LARCH AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831556",
            "telephone_number": "503-507-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WATER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973016467",
            "telephone_number": "503-507-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "KAITLIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "20599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "20599",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marge L Dettwiler, PNP
• Sara Rochelle Devaney, LCSW
• Christian Arthur Devaux, D.O.
• Isadora Samson Devecchio, QMHA
• Developing Chances LLC
• Lois Devine
• Abigail Taylor Devlin
• Devmecca.Com, LLC
• James Ernest Devorss, MD
• Erin Nicole Devoy, DPT

• Medical Specialty Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.