Active NPI
Caitlin Farrell
- Athletic Trainer
- New Milford, CT
National Provider Identifier
1104475656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 236 Aspetuck Ridge Rd
New Milford, CT 06776-5313 - Phone
- (203) 417-4915
- NPI assigned
- Sep 7, 2019
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
236 Aspetuck Ridge Rd
New Milford, CT 06776-5313
Mailing address
236 Aspetuck Ridge Rd
New Milford, CT 06776-5313
Phone (203) 417-4915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1390749202 | Other | CT | UNITED HEALTHCARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567814400000",
"number": "1104475656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 ASPETUCK RIDGE RD",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067765313",
"telephone_number": "203-417-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 ASPETUCK RIDGE RD",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067765313",
"telephone_number": "203-417-4915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-07",
"last_updated": "2019-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1390749202",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.