Active NPI
Caitlin Clason, WHNP-BC
- Women's Health Clinical Nurse Specialist
- Philadelphia, PA
National Provider Identifier
1023587987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Clinical Nurse Specialist
- License
- SP019426
- Practice address
- 1632 Pine St
Philadelphia, PA 19103-6711 - Phone
- (215) 735-7992
- NPI assigned
- Nov 20, 2018
- Last updated
- Nov 20, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Clinical Nurse Specialist | 364SW0102X | SP019426 | PA | Primary |
Addresses
Primary practice location
1632 Pine St
Philadelphia, PA 19103-6711
Mailing address
118 Biddle Rd
Paoli, PA 19301-1104
Other names 1
- Caitlin Russell
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP019426 | PA | MD | Women's Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1023587987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 BIDDLE RD",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1632 PINE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191036711",
"telephone_number": "215-735-7992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLASON",
"first_name": "CAITLIN",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "364SW0102X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Women's Health",
"state": "PA",
"license": "SP019426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAITLIN",
"last_name": "RUSSELL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.