Active NPI
Caitlin M. Martin, M.S., CF-SLP
- Speech-Language Pathologist
- Waynetown, IN
National Provider Identifier
1457707820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22006426
- Practice address
- 108 W Washington St
Waynetown, IN 47990-8022 - Phone
- (131) 734-0828
- NPI assigned
- May 4, 2016
- Last updated
- Sep 6, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 460002846A | IN | |
| Speech-Language Pathologist | 235Z00000X | 22006426 | IN | Primary |
Addresses
Primary practice location
108 W Washington St
Waynetown, IN 47990-8022
Mailing address
7030 Blazing Trail Dr
Colorado Springs, CO 80922-3052
Phone (317) 340-8285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201376470 | Medicaid | IN |
Other names 1
- Caitlin M. Wilkewitz
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22006426 | IN | MD | Speech-Language Pathologist |
| 460002846A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Together Speech Therapy, LCC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Hearing and Speech Clinic/Center
- Waynetown, IN
- NPI 1114682119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1457707820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7030 BLAZING TRAIL DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809223052",
"telephone_number": "317-340-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W WASHINGTON ST",
"city": "WAYNETOWN",
"state": "IN",
"postal_code": "479908022",
"telephone_number": "131-734-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CAITLIN",
"middle_name": "M.",
"credential": "M.S., CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "460002846A",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22006426",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201376470",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAITLIN",
"last_name": "WILKEWITZ",
"middle_name": "M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waynetown, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.