Active NPI
Kaitlin Davitt
- Athletic Trainer
- State College, PA
National Provider Identifier
1972957231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 500 E College Ave
Apt 201
State College, PA 16801-5560 - Phone
- (860) 716-9740
- NPI assigned
- Apr 22, 2016
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
500 E College Ave
Apt 201
State College, PA 16801-5560
Mailing address
500 E College Ave
Apt 201
State College, PA 16801-5560
Phone (860) 716-9740
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461283200000",
"number": "1972957231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E COLLEGE AVE",
"address_2": "APT 201",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168015560",
"telephone_number": "860-716-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E COLLEGE AVE",
"address_2": "APT 201",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168015560",
"telephone_number": "860-716-9740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVITT",
"first_name": "KAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-22",
"last_updated": "2016-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.