MISS KAITLYN MARIE GUSTAFSON
NPI 1811445810
Student in an Organized Health Care Education/Training Program in Endwell, NY

Q: What is Kaitlyn Gustafson's NPI number?

The NPI number for Kaitlyn Gustafson is 1811445810. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Q: What is Kaitlyn Gustafson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaitlyn Gustafson was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 19, 2016

969 DEBONAIR DR, ENDWELL, NY 13760(607) 321-1236 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Miss Kaitlyn Marie Gustafson NPPES

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

MISS KAITLYN MARIE GUSTAFSON (NPI 1811445810) is an individual student in an organized health care education/training program in Endwell, New York and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1811445810

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMISS KAITLYN MARIE GUSTAFSON

Location Address969 DEBONAIR DREndwell, NY 13760-1640

Mailing Address969 Debonair DrEndwell, NY 13760-1640 · (607) 321-1236

Phone(607) 321-1236

Sole ProprietorYes

Enumeration DateSeptember 19, 2016

✔ NPI 1811445810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

969 DEBONAIR DR, Endwell, NY 13760

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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 Kaitlyn Gustafson's NPI number?

The NPI number for Kaitlyn Gustafson is 1811445810. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Kaitlyn Gustafson located?

Kaitlyn Gustafson practices at 969 Debonair Dr, Endwell, NY 13760. The listed phone number is (607) 321-1236.

What is Kaitlyn Gustafson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kaitlyn Gustafson was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.