Active NPI
Kaitlyn Sue Spalding
- Occupational Therapist
- Twin Falls, ID
National Provider Identifier
1811555048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-2646
- Practice address
- 801 Pole Line Rd W
Twin Falls, ID 83301-5810 - Phone
- (517) 227-7979
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Occupational Therapist | 225X00000X | OT-2646 | ID | Primary |
Addresses
Primary practice location
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Mailing address
18252 Pine Meadows Dr
Thompsonville, MI 49683-9580
Phone (517) 227-7979
Other practice location 1
104 Malton Rd
Negaunee, MI 49866-2000
Phone (906) 228-4692
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT-2646 | ID | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Recovery Centers | Past | Accepting new patients | |
| Great Lakes Recovery Centers | Past | Accepting new patients |
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.
-
- Children's Substance Abuse Rehabilitation Facility
- Negaunee, MI
- NPI 1669899241
-
- Substance Abuse Rehabilitation Facility
- Ironwood, MI
- NPI 1821267956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1811555048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18252 PINE MEADOWS DR",
"city": "THOMPSONVILLE",
"state": "MI",
"postal_code": "496839580",
"telephone_number": "517-227-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 POLE LINE RD W",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015810",
"telephone_number": "517-227-7979"
}
],
"practiceLocations": [
{
"address_1": "104 Malton Rd",
"address_purpose": "LOCATION",
"city": "Negaunee",
"state": "MI",
"postal_code": "498662000",
"country_code": "US",
"telephone_number": "906-228-4692",
"fax_number": "906-228-2830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPALDING",
"first_name": "KAITLYN",
"middle_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-2646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.