Individual provider Active NPI

Caitlin A. Ullman, PA

  • Physician Assistant
  • Utica, NY
National Provider Identifier
1427617935
Registry record updated Jun 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
20 Westminster Rd
Utica, NY 13501-6429
Phone
(315) 534-4384
NPI assigned
Jun 8, 2019
Last updated
Jun 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

20 Westminster Rd
Utica, NY 13501-6429

Mailing address

20 Westminster Rd
Utica, NY 13501-6429
Phone (315) 534-4384

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
I20191113001992 NY Practitioner - Physician Assistant 5799117719 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Canal Country PA Group, PLLC Physician Assistant Current Accepting new patients
St Marys Healthcare CurrentSince Dec 23, 2019 Accepting new patients
St. Mary's Healthcare CurrentSince Dec 23, 2019 Accepting new patients
Cny Mind & Wellness LLC CurrentSince Sep 8, 2025 Accepting new patients

Locations

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

380 Guy Park Ave
Ste 2
Amsterdam, NY 12010
Phone (518) 770-7581

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

4988 State Highway 30
Amsterdam, NY 12010
Phone (518) 842-3100

48 Erie Blvd
Canajoharie, NY 13317
Phone (518) 673-2573

84 E State St
Gloversville, NY 12078
Phone (518) 332-4336

338 E State St
Herkimer, NY 13350
Phone (315) 733-5206

700 S Perry St
Johnstown, NY 12095
Phone (518) 736-1004

258 Genesee St
Ste 203
Utica, NY 13502
Phone (315) 335-1285

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559952000000",
    "number": "1427617935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WESTMINSTER RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016429",
            "telephone_number": "315-534-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WESTMINSTER RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016429",
            "telephone_number": "315-534-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLMAN",
        "first_name": "CAITLIN",
        "middle_name": "A.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-08",
        "last_updated": "2019-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.