Caitlin R Spall, RRA

Primary specialty

Radiology Practitioner AssistantTaxonomy code 243U00000X

License

XT016685 Issued in IN

Practice address

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307

Phone

(317) 579-2150

Fax

(317) 579-2130

NPI assigned

Jan 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Caitlain Schaumberg Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1104390673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9998 CROSSPOINT BLVD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563307",
            "telephone_number": "317-579-2150",
            "fax_number": "317-579-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9998 CROSSPOINT BLVD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563307",
            "telephone_number": "317-579-2150",
            "fax_number": "317-579-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALL",
        "first_name": "CAITLIN",
        "middle_name": "R",
        "credential": "RRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "IN",
            "license": "XT016685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLAIN",
            "last_name": "SCHAUMBERG",
            "credential": "RRA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Margaret Sonneborn Sozio, M.D.
• Tabitha Spacht
• Thomas Spaethe
• Roger G. Spahr, M.D.
• Kizzy Spain
• Carolynn E.H. Spandau, D.D.S.
• Alexander Lawrence Spanenberg, PHARMD, RPH
• Karen Spangler-Berfield, LCSW
• Julian Jason Spangler
• Kristin Rae Spangler, MS

• Radiology Practitioner Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Radiology Practitioner Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.