Active NPI
Caitlyn Richter, ATC
- Athletic Trainer
- Fort White, FL
National Provider Identifier
1306253372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 3915
- Practice address
- 17828 SW State Rd
Fort White, FL 32038 - Phone
- (262) 308-1944
- NPI assigned
- Jul 22, 2014
- Last updated
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 3915 | FL | Primary |
Addresses
Primary practice location
17828 SW State Rd
Fort White, FL 32038
Mailing address
9834 33Rd CT
Pleasant Prairie, WI 53158-5701
Phone (262) 308-1944
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3915 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1306253372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9834 33RD CT",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531585701",
"telephone_number": "262-308-1944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17828 SW STATE RD",
"city": "FORT WHITE",
"state": "FL",
"postal_code": "32038",
"telephone_number": "262-308-1944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHTER",
"first_name": "CAITLYN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "3915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort White, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.