Individual provider Active NPI

Caitlynn Rayn Tillette, RDH

  • Dental Hygienist
  • Camp Lejeune, NC
National Provider Identifier
1386563963
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
15170 Issued in NC
Practice address
Commanding Officer, Naval Medical Center
100 Brewster Blvd
Camp Lejeune, NC 28547
Phone
(910) 451-2208
NPI assigned
Jul 15, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 15170 NC Primary

Addresses

Primary practice location

Commanding Officer, Naval Medical Center
100 Brewster Blvd
Camp Lejeune, NC 28547

Mailing address

Commanding Officer, Naval Medical Center
100 Brewster Blvd
Camp Lejeune, NC 28547
Phone (910) 451-2208

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

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1386563963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMMANDING OFFICER, NAVAL MEDICAL CENTER",
            "address_2": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28547",
            "telephone_number": "910-451-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMANDING OFFICER, NAVAL MEDICAL CENTER",
            "address_2": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28547",
            "telephone_number": "910-451-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLETTE",
        "first_name": "CAITLYNN",
        "middle_name": "RAYN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NC",
            "license": "15170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.