Individual provider Active NPI

Caitlan Readhead, N.D.

  • Naturopath
  • Portland, OR
National Provider Identifier
1104361708
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4162 Issued in OR
Practice address
8113 SE 13TH Ave
Portland, OR 97202-6607
Phone
(503) 232-5653
NPI assigned
Jan 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 4162 OR Primary

Addresses

Primary practice location

8113 SE 13TH Ave
Portland, OR 97202-6607

Mailing address

8113 SE 13TH Ave
Portland, OR 97202-6607
Phone (503) 232-5653

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

LicenseStateTypeSpecialty
4162ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Azzolino Chiropractic Neurology & Integrative Wellness, Inc PastSince Apr 15, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1104361708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8113 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026607",
            "telephone_number": "503-232-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8113 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026607",
            "telephone_number": "503-232-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READHEAD",
        "first_name": "CAITLAN",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.