Active NPI
Caitlin Anne Jarvis, PA
- Physician Assistant
- Bethesda, MD
National Provider Identifier
1447539994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0008500
- Practice address
- National Institutes of Health
10 Center Drive Building 10 Office 6D44
Bethesda, MD 20814 - Phone
- (240) 549-4251
- NPI assigned
- Aug 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 015128-1 | NY | |
| Physician Assistant | 363A00000X | C0008500 | MD | Primary |
Addresses
Primary practice location
National Institutes of Health
10 Center Drive Building 10 Office 6D44
Bethesda, MD 20814
Mailing address
National Institutes of Health
10 Center Drive Building 10 Office 6D44
Bethesda, MD 20814
Phone (240) 549-4251
Other names 1
- Caitlin Anne Poirier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015128-1 | NY | MD | Clinical Psychologist |
| C0008500 | MD | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1447539994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NATIONAL INSTITUTES OF HEALTH",
"address_2": "10 CENTER DRIVE BUILDING 10 OFFICE 6D44",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "240-549-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NATIONAL INSTITUTES OF HEALTH",
"address_2": "10 CENTER DRIVE BUILDING 10 OFFICE 6D44",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "240-549-4251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "CAITLIN",
"middle_name": "ANNE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-15",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "015128-1",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0008500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAITLIN",
"last_name": "POIRIER",
"middle_name": "ANNE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.