Caroline Lewis-Stieglitz Damitog, ATC, LAT

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

LAT-4765 Issued in NC

Practice address

1100 North Ave
Grand Junction, CO 81501-3122

Phone

(970) 248-1548

NPI assigned

Jun 28, 2023

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

• Caroline Victoria Lewis-Stieglitz Former 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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1124705595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NORTH AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013122",
            "telephone_number": "970-248-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NORTH AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013122",
            "telephone_number": "970-248-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMITOG",
        "first_name": "CAROLINE",
        "middle_name": "LEWIS-STIEGLITZ",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "NC",
            "license": "LAT-4765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "LEWIS-STIEGLITZ",
            "middle_name": "VICTORIA",
            "credential": "ATC, LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daisy Center
• Julia Dalbow, MT
• Nicholas Alexander Dallas, LMT
• Ann Renee Dalton, BSW
• Nicholas A Damico, SLP
• Caroline Elkins Dance
• Charles J Daniel Jr., DPM
• Deborah Jean Daniel, RN
• Gregory D Daniel, COTA
• Daniela J Schupp MD PHD, PLLC

• Sports Medicine (Emergency Medicine) Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Sports Medicine (Emergency Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.