Kaitlinn Ann Waite, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2021027319 Issued in MO

Practice address

301 N Washington St Ste 4B
Farmington, MO 63640-1750

Phone

(573) 756-5550

NPI assigned

Jul 19, 2021

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

State licenses

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1932772852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N WASHINGTON ST STE 4B",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401750",
            "telephone_number": "573-756-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N WASHINGTON ST STE 4B",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401750",
            "telephone_number": "573-756-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "KAITLINN",
        "middle_name": "ANN",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2021027319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Nada Wadlow, BA
• Fisher Wadlow, FNP
• Tara R Wadlow, FNP
• Kathleen A Waggoner, LPC
• Jane Ellen Wagner-Garner, M.A.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0037)
• Wal-Mart Stores East, LP (Vision Center 30-0037)
• Walgreen Co (Walgreens #05624)
• Walgreen Co (Walgreens #21312)
• Melissa A Walker

• Hearing Instrument Specialist in Farmington, MO
• Providers in Farmington, MO by specialty
• Hearing Instrument Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.