Individual provider Active NPI

Caitlin De la Cruz, CRNP

  • Family Medicine Physician
  • Wheeling, WV
National Provider Identifier
1346873270
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
105726 Issued in WV
Practice address
1066 E Bethlehem Blvd
Wheeling, WV 26003-4961
Phone
(304) 242-2639
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP020831 PA
Family Medicine Physician 207Q00000X 105726 WV Primary

Addresses

Primary practice location

1066 E Bethlehem Blvd
Wheeling, WV 26003-4961

Mailing address

2275 Swallow Hill Rd Ste 2400
Pittsburgh, PA 15220-1676

Other practice location 1

2275 Swallow Hill Rd Ste 2400
Pittsburgh, PA 15220-1676
Phone (412) 429-1151

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

LicenseStateTypeSpecialty
SP020831PAMDFamily Medicine Physician
105726WVMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1346873270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 SWALLOW HILL RD STE 2400",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 E BETHLEHEM BLVD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260034961",
            "telephone_number": "304-242-2639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2275 Swallow Hill Rd Ste 2400",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152201676",
            "country_code": "US",
            "telephone_number": "412-429-1151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "CAITLIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP020831",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "105726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.