Active NPI
Caitlin Vigil, MD
- Forensic Psychiatry Physician
- Pueblo, CO
National Provider Identifier
1073824249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- 0060188
- Practice address
- 1600 W 24TH St
Pueblo, CO 81003-1411 - Phone
- (719) 546-4000
- NPI assigned
- Jun 23, 2010
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | RS2011-0397 | NM | |
| Psychiatry Physician | 2084P0800X | 46168 | AZ | |
| Psychiatry Physician | 2084P0800X | 0060188 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0060188 | CO | |
| Forensic Psychiatry Physician | 2084F0202X | 0060188 | CO | Primary |
Addresses
Primary practice location
1600 W 24TH St
Pueblo, CO 81003-1411
Mailing address
13001 E 17TH PL # Q20C2000
Aurora, CO 80045-2570
Phone (303) 724-4940
Other names 1
- Caitlin Dufault
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0060188 | CO | MD | Psychiatry Physician |
| RS2011-0397 | NM | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1073824249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13001 E 17TH PL # Q20C2000",
"city": "AURORA",
"state": "CO",
"postal_code": "800452570",
"telephone_number": "303-724-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 24TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810031411",
"telephone_number": "719-546-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGIL",
"first_name": "CAITLIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "RS2011-0397",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "46168",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "0060188",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "0060188",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "CO",
"license": "0060188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAITLIN",
"last_name": "DUFAULT",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.