Individual provider Active NPI

Kaitlynn Rebecca Fair

  • Family Nurse Practitioner
  • Easton, PA
National Provider Identifier
1902792484
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP033271 Issued in PA
Practice address
3701 Corriere Rd Ste 22
Easton, PA 18045-7991
Phone
(484) 591-7170
NPI assigned
Jun 13, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP033271 PA Primary

Addresses

Primary practice location

3701 Corriere Rd Ste 22
Easton, PA 18045-7991

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500

Other practice location 1

2100 Mack Blvd Fl 4
Allentown, PA 18103-5622
Phone (484) 884-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807004432 PA Practitioner - Nurse Practitioner 6406354570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

3701 Corriere Rd
FL 2
Easton, PA 18045-7991
Phone (484) 591-7170

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 4, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 4, 2025 Accepting new patients
Pulmonary Associates PC PastSince Aug 17, 2025 Accepting new patients
Lehigh Valley Physician Group PastSince Aug 17, 2025 Accepting new patients

Locations (25 of 27)

1611 Pond Rd
Ste 300
Allentown, PA 18104
Phone (610) 398-7700

400 N 17th St
Ste 204
Allentown, PA 18104

1245 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-4870

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1665 Valley Center Pkwy
Ste 130
Bethlehem, PA 18017
Phone (610) 317-0208

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

325 W Broad St
Fl 3
Bethlehem, PA 18018
Phone (484) 626-9250

120 Burrus Blvd
Ste 200
Brodheadsville, PA 18322
Phone (570) 420-6300

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

179 Independence Rd
East Stroudsburg, PA 18301
Phone (570) 421-8526

3701 Corriere Rd
Fl 2
Easton, PA 18045
Phone (484) 591-7080

3701 Corriere Rd
Ste 22
Easton, PA 18045
Phone (484) 591-7170

4807 Freemansburg Ave
Ste 150
Easton, PA 18045
Phone (484) 591-7600

1431 Nursery St
Ste 202
Fogelsville, PA 18051
Phone (484) 273-4377

50 Moisey Dr
Ste 208
Hazle Township, PA 18202
Phone (570) 501-6380

333 Normal Ave
Ste 202
Kutztown, PA 19530

5649 Wynnewood Dr
Ste 102
Laurys Station, PA 18059

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

2226 Blakeslee Boulevard Dr E
Lehighton, PA 18235
Phone (484) 224-9700

237 S Mountain Blvd
Ste 7
Mountain Top, PA 18707
Phone (570) 261-5000

101 W 7th St
Ste 2A
Pennsburg, PA 18073
Phone (215) 257-4866

171 Red Horse Rd
Pottsville, PA 17901
Phone (570) 628-2229

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

320 W Pumping Station Rd
Ste 2
Quakertown, PA 18951
Phone (215) 529-4210

6 S Greenview Rd
Schuylkill Haven, PA 17972
Phone (570) 366-3915

Interoperability endpoints

  • Direct secure messaging: kfair1614784@direct2.lvhn.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1902792484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 CORRIERE RD STE 22",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180457991",
            "telephone_number": "484-591-7170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Mack Blvd Fl 4",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181035622",
            "country_code": "US",
            "telephone_number": "484-884-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIR",
        "first_name": "KAITLYNN",
        "middle_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.