Individual provider Active NPI

Caitlyn Easterling Neltner, MD

  • Pediatrics Physician
  • Lexington, KY
National Provider Identifier
1477086338
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
54677 Issued in KY
Practice address
1780 Nicholasville Rd Ste 301
Lexington, KY 40503-1413
Phone
(859) 277-6636
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 54677 KY Primary

Addresses

Primary practice location

1780 Nicholasville Rd Ste 301
Lexington, KY 40503-1413

Mailing address

1780 Nicholasville Rd Ste 301
Lexington, KY 40503-1413
Phone (859) 277-6636

Other practice location 1

1215 Lee St
Charlottesville, VA 22908-1702
Phone (434) 924-5321

Other names 1

  • Dr. Sara Caitlyn Easterling Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180727000860 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8729335369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54677KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pediatrics, PSC Pediatrics PastSince Jul 4, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1477086338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 NICHOLASVILLE RD STE 301",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031413",
            "telephone_number": "859-277-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 NICHOLASVILLE RD STE 301",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031413",
            "telephone_number": "859-277-6636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229081702",
            "country_code": "US",
            "telephone_number": "434-924-5321",
            "fax_number": "434-982-3816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELTNER",
        "first_name": "CAITLYN",
        "middle_name": "EASTERLING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "54677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "EASTERLING",
            "middle_name": "CAITLYN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.