Active NPI
Caitlin Geraldine Golota
- Pediatric Nurse Practitioner
- Lake Bluff, IL
National Provider Identifier
1477399723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 209.031004
- Practice address
- 917 Sherwood Dr
Lake Bluff, IL 60044-2224 - Phone
- (847) 295-1220
- NPI assigned
- Jul 6, 2024
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041422284 | IL | |
| Pediatric Nurse Practitioner | 363LP0200X | 209.031004 | IL | Primary |
Addresses
Primary practice location
917 Sherwood Dr
Lake Bluff, IL 60044-2224
Mailing address
545 N McClurg CT Unit 4204
Chicago, IL 60611-4089
Phone (847) 525-0137
Other practice location 1
250 E Superior St
Chicago, IL 60611-2914
Phone (312) 472-1000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041422284 | IL | MD | Registered Nurse |
| 209.031004 | IL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Forest Pediatric Associates, LTD | Past | Accepting new patients | |
| Rush University Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Lake Bluff, IL
- NPI 1659410496
-
dba Rush Pediatric Medical Service Plan
- Pediatrics Physician
- Chicago, IL
- NPI 1871560961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1477399723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 N MCCLURG CT UNIT 4204",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114089",
"telephone_number": "847-525-0137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 SHERWOOD DR",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600442224",
"telephone_number": "847-295-1220"
}
],
"practiceLocations": [
{
"address_1": "250 E Superior St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112914",
"country_code": "US",
"telephone_number": "312-472-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLOTA",
"first_name": "CAITLIN",
"middle_name": "GERALDINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-06",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041422284",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "209.031004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Bluff, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.