Individual provider Active NPI

Kaitlyn Alaxanian, RN

  • School Registered Nurse
  • Latham, NY
National Provider Identifier
1801775804
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
752359 Issued in NY
Practice address
91 Fiddlers LN
Latham, NY 12110-5343
Phone
(518) 785-8591
NPI assigned
Sep 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 752359 NY Primary

Addresses

Primary practice location

91 Fiddlers LN
Latham, NY 12110-5343

Mailing address

91 Fiddlers LN
Latham, NY 12110-5343
Phone (518) 785-8591

Other identifiers 1

IdentifierTypeStateIssuer
03052893MedicaidNY

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
752359NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Colonie Central School District School CurrentSince Sep 8, 2025 Accepting new patients
North Colonie Central School District PastSince Sep 8, 2025 Accepting new patients

Locations

91 Fiddlers Ln
Latham, NY 12110
Phone (518) 785-3211

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1801775804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 FIDDLERS LN",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121105343",
            "telephone_number": "518-785-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 FIDDLERS LN",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121105343",
            "telephone_number": "518-785-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAXANIAN",
        "first_name": "KAITLYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "752359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03052893",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.