Caitlan D Barnes, MS, CCC-SLP

Key facts

NPI

1609540772

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

SP-1140 (WY)

Practice address

1771 Centennial Dr
Laramie, WY 82070-8403

Phone

(307) 399-3235

NPI assigned

Aug 3, 2021

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

State licenses

Specialties & licenses

Addresses

Other names

• Mrs. Caitlan D Hensley Former name

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 11, 2021.

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1609540772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2562 SYBILLE DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820707321",
            "telephone_number": "307-399-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 CENTENNIAL DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820708403",
            "telephone_number": "307-399-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "CAITLAN",
        "middle_name": "D",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-1140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Laramie",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1771 Centennial Dr",
            "city": "Laramie",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820708403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAITLAN",
            "last_name": "HENSLEY",
            "middle_name": "D",
            "prefix": "MRS.",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laramie, WY

• Brittany Bares, M.ED, PPC
• Katharine Baringer
• Stefan A Barker
• Savannah Cheyenne Barkhoff
• Ashanah Barnes
• Heather Barnes
• Martell Barnes
• Carl Barnett, ATC, MS
• Ethan Barnett
• Darius Barrett

All providers in Laramie, WY · Speech-Language Pathologist in Wyoming