Active NPI
Kaitlyn Hamilton, DC, ATC
- Chiropractor
- Eagle, ID
National Provider Identifier
1972005148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1827
- Practice address
- 950 E Riverside Dr
Eagle, ID 83616-6020 - Phone
- (208) 939-2502
- NPI assigned
- Mar 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1827 | ID | Primary |
Addresses
Primary practice location
950 E Riverside Dr
Eagle, ID 83616-6020
Mailing address
6110 N Point Bar LN
Garden City, ID 83714-1380
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1827 | ID | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1972005148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6110 N POINT BAR LN",
"city": "GARDEN CITY",
"state": "ID",
"postal_code": "837141380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E RIVERSIDE DR",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166020",
"telephone_number": "208-939-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "KAITLYN",
"name_prefix": "Dr.",
"credential": "DC, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.