Caitlin Peterson

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.0001489 Issued in CO

Practice address

2646 Patterson Rd Ste a
Grand Junction, CO 81506-1941

Phone

(970) 241-5585

NPI assigned

Oct 12, 2016

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

• Caitlin Goar 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": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1376093450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 PATTERSON RD STE A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061941",
            "telephone_number": "970-241-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 PATTERSON RD STE A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061941",
            "telephone_number": "970-241-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0001489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "GOAR",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reese Anders Pertile
• Paul R Pesantes
• Amanda Pesta, OTR/L
• Lindsi Grace Peters
• Ilyana Abagail Peterson-Kreie, LMT
• Jaxton Brek Peterson
• Sharyl Bender Peterson, PH.D.
• Steven L Peterson, M.D.
• John Pettijohn, CTRS
• Landon Eireen Pettit, A-GNP-C

• Athletic Trainer in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.