Individual provider Active NPI

Caitlin Hall, D.O

  • Pediatrics Physician
  • Glenwood Springs, CO
National Provider Identifier
1669890802
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0058273 Issued in CO
Practice address
1905 Blake Ave Ste 201
Glenwood Springs, CO 81601-4286
Phone
(970) 947-9999
Fax
(970) 947-9226
NPI assigned
Apr 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 0058273 CO Primary

Addresses

Primary practice location

1905 Blake Ave Ste 201
Glenwood Springs, CO 81601-4286

Mailing address

1905 Blake Ave Ste 201
Glenwood Springs, CO 81601-4286
Phone (970) 947-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200513000810 IN Practitioner - Pediatric Medicine 7618271859 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0058273COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Pediatric Subspecialties Pediatrics CurrentSince Jun 29, 2020 Accepting new patients
St Vincent Pediatric Subspecialties Pediatrics CurrentSince Jun 29, 2020 Accepting new patients
Valley View Hospital Association Current Accepting new patients

Locations

1905 Blake Ave
Ste 201
Glenwood Springs, CO 81601
Phone (970) 947-9999

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921

Interoperability endpoints

  • Direct secure messaging: vvh_him@direct.vvh.org

Organizations & group practices 3

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669890802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 BLAKE AVE STE 201",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014286",
            "telephone_number": "970-947-9999",
            "fax_number": "970-947-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 BLAKE AVE STE 201",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014286",
            "telephone_number": "970-947-9999",
            "fax_number": "970-947-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CAITLIN",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "0058273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.