Individual provider Active NPI

Caitlin Marie Lafferty, NP

  • Nurse Practitioner
  • Oceanside, CA
National Provider Identifier
1407847007
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95041100 Issued in CA
Practice address
2201 Mission Ave Ste 200
Oceanside, CA 92058-2313
Phone
(760) 826-7223
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X F4207541 NY
Gerontology Nurse Practitioner 363LG0600X 0001339767 VA
Nurse Practitioner 363L00000X 95041100 CA Primary
Adult Health Nurse Practitioner 363LA2200X F305204-1 NY

Addresses

Primary practice location

2201 Mission Ave Ste 200
Oceanside, CA 92058-2313

Mailing address

3332 Walden Ave
Suite 110
Depew, NY 14043
Phone (716) 668-7051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000357 NY Practitioner - Nurse Practitioner 4688689284 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F4207541NYMDObstetrics & Gynecology Physician
F305204-1NYMDAdult Health Nurse Practitioner
0001339767VAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Medical Partners, PLLC CurrentSince Apr 4, 2016 Accepting new patients
Mobile Physician Services PLLC PastSince Jan 1, 2015 Accepting new patients
Mobile Primary Care Family Nurse Practitioners, PLLC PastSince Jun 1, 2007 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

225 Como Park Blvd
Cheektowaga, NY 14227
Phone (716) 686-1900

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

Interoperability endpoints

  • Direct secure messaging: ms_claffert@landmarkhealth-direct.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1407847007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 WALDEN AVE",
            "address_2": "SUITE 110",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "14043",
            "telephone_number": "716-668-7051",
            "fax_number": "716-668-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MISSION AVE STE 200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920582313",
            "telephone_number": "760-826-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "F4207541",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0001339767",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95041100",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305204-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.