Caitlin Marie Houck, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP022885 Issued in PA

Practice address

4250 Fritch Dr
Bethlehem, PA 18020-9412

Phone

(610) 954-9040

NPI assigned

Jun 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Caitlin Marie Graynor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1487221065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 FRITCH DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209412",
            "telephone_number": "610-954-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 FRITCH DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209412",
            "telephone_number": "610-954-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUCK",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP022885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "GRAYNOR",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jena Marie Hosband, P.A.-C.
• Jonathan P. Hosey, M.D.
• Mirmohd Hossain, MD
• Jacob Hostetler, MD
• Maxx Frederick Hotton, MD
• Rebecca Houck
• Marie Joan Hough
• A Wayne Howard, DO
• Amelia Howard
• Donovan Alec Howard

• Nurse Practitioner in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.