Caitlyn Alley Witwicki, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN87930 Issued in ME

Practice address

12B Punkintown Rd
Eliot, ME 03903-1214

Phone

(207) 319-0804

NPI assigned

Jan 17, 2023

Last updated

Jun 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1134834989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12B PUNKINTOWN RD",
            "city": "ELIOT",
            "state": "ME",
            "postal_code": "039031214",
            "telephone_number": "207-319-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12B PUNKINTOWN RD",
            "city": "ELIOT",
            "state": "ME",
            "postal_code": "039031214",
            "telephone_number": "207-319-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITWICKI",
        "first_name": "CAITLYN",
        "middle_name": "ALLEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "ME",
            "license": "CNA96353",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN87930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Teske, BCBA
• Dean Tsamparlis, R.PH.
• Sandra Elaine Tufts, CD(DONA)
• Julie Weiss, LCSW
• Jennifer Carr Wilber, RDH
• Ilaria Zinser, LCSW

• Registered Nurse in Eliot, ME
• Providers in Eliot, ME by specialty
• Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.