Caitlin Elspeth Edward, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71009336A Issued in IN

Practice address

212 W Edison Rd
Mishawaka, IN 46545-8301

Phone

(574) 222-2359

Fax

(574) 222-2365

NPI assigned

Sep 16, 2019

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

• Ms. Caitlin Elspeth Pribble Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caitlin.pribble.1@22812.direct.athenahealth.com

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.

• Alexander C. Gatzimos MD JD

  • Geriatric Medicine (Internal Medicine) Physician
  • South Bend, IN
  • NPI 1154663763
  Medicare reassignment NPD

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1689224214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W EDISON RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458301",
            "telephone_number": "574-222-2359",
            "fax_number": "574-222-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W EDISON RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458301",
            "telephone_number": "574-222-2359",
            "fax_number": "574-222-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARD",
        "first_name": "CAITLIN",
        "middle_name": "ELSPETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009336A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "PRIBBLE",
            "middle_name": "ELSPETH",
            "prefix": "MS.",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher John Eberle, DPM
• Karleisha Echols, RBT
• Stephen Conlon Eder, M.D.
• Ryan Edgar
• Penny Edgerly
• Chad Robert Edwards, PH.D.
• Morgan K Eichorst, PHD
• Amanda Einselen, LMHC
• Elek LLC
• Gary W. Elliott, PHD

• Family Nurse Practitioner in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.