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DR. KAITLIN HALLAHAN DO
NPI 1750140117
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 18, 2024PECOS Enrolled
1465 S GRAND BLVD RM 2717, SAINT LOUIS, MO 63104(314) 577-5634(314) 577-5616 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kaitlin Hallahan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KAITLIN HALLAHAN DO (NPI 1750140117) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750140117
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KAITLIN HALLAHANCredential: DO
Location Address1465 S GRAND BLVD RM 2717Saint Louis, MO 63104-1003
Mailing Address1465 S Grand Blvd Rm 2717Saint Louis, MO 63104-1003 · (314) 577-5634 · Fax (314) 577-5616
Phone(314) 577-5634
Fax(314) 577-5616
Sole ProprietorYes
Enumeration DateMarch 18, 2024
Last NPPES UpdateApril 8, 2024
NPPES CertifiedApril 8, 2024
✔ NPI 1750140117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1465 S GRAND BLVD RM 2717, Saint Louis, MO 63104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kaitlin Hallahan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RYAN ANTHONY WONG MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070
NINOSHKA MENDONCA MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
LESLIE J DAVIS D.O.
Pediatrics
1465 S GRAND BLVD RM 2717, 1465 SOUTH GRAND BLVD, RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
DOMINIC BISESI DO
Emergency Medicine
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070
CHRISTOPHER PATRICK CALLAHAN MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
DR. KAYKAY SAN DO
Pediatrics
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
AMANI FIRDOUZE ASHRAF MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
MRS. ELIZABETH MCCARTER NOONAN M.D.
Pediatrics
1465 S GRAND BLVD RM 2717, 1465 SOUTH GRAND BLVD, RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlin Hallahan's NPI number?

The NPI number for Kaitlin Hallahan is 1750140117. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Kaitlin Hallahan located?

Kaitlin Hallahan practices at 1465 S Grand Blvd Rm 2717, Saint Louis, MO 63104. The listed phone number is (314) 577-5634.

What is Kaitlin Hallahan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kaitlin Hallahan enrolled in Medicare?

Yes. Kaitlin Hallahan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlin Hallahan was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.