Individual provider Active NPI

Caitlin Ann Maloy, FNP-C

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1528654423
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5013911 Issued in NC
Practice address
2810 Maplewood Ave
Winston Salem, NC 27103-4138
Phone
(336) 860-6194
Fax
(336) 860-6236
NPI assigned
Dec 15, 2020
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5013911 NC Primary
Family Nurse Practitioner 363LF0000X 10200088 NC

Addresses

Primary practice location

2810 Maplewood Ave
Winston Salem, NC 27103-4138

Mailing address

PO Box 604050
Charlotte, NC 28260-4050

Other practice location 1

1001 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

Other names 1

  • Caitlin Ann Field Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cfield884667@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210412000748 NC Practitioner - Nurse Practitioner 5597173575 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5013911NCMDNurse Practitioner
10200088NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates of the Multi-Specialty CurrentSince May 7, 2021 Accepting new patients
Advance Community Health, Inc Multi-Specialty CurrentSince Jan 18, 2021 Accepting new patients
Advance Community Health, Inc Multi-Specialty Current Accepting new patients
Advance Community Health, Inc Multi-Specialty CurrentSince Jan 18, 2021 Accepting new patients
NH-CL Clinics, LLC Multi-Specialty CurrentSince May 7, 2021 Accepting new patients
Advance Community Health, Inc Multi-Specialty Current Accepting new patients

Locations

212 S Salem St
Apex, NC 27502
Phone (919) 362-5201

173 High House Rd
Cary, NC 27511

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115

111 S Church St
Louisburg, NC 27549
Phone (919) 250-2923

1001 Rock Quarry Rd
Raleigh, NC 27610
Phone (919) 250-2934

1011 Rock Quarry Rd
Raleigh, NC 27610

1430 S Wilmington St
Raleigh, NC 27603

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

6329 Unity St
Ste A
Thomasville, NC 27360
Phone (336) 474-0278

2810 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 768-1811

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1528654423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604050",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034138",
            "telephone_number": "336-860-6194",
            "fax_number": "336-860-6236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Rock Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276103825",
            "country_code": "US",
            "telephone_number": "919-833-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALOY",
        "first_name": "CAITLIN",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013911",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "10200088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cfield884667@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2810 Maplewood Ave",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271034138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "FIELD",
            "middle_name": "ANN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.