Individual provider Active NPI

Margaret Mary Caicedo, ARNP, CDE

  • Diabetes Educator Registered Nurse
  • Pendleton, OR
National Provider Identifier
1699922385
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
090006946RN Issued in OR
Practice address
73265 Confederated Way
Pendleton, OR 97801
Phone
(541) 966-9830
Fax
(541) 278-7572
NPI assigned
Aug 25, 2008
Last updated
Aug 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 090006946RN OR Primary

Addresses

Primary practice location

73265 Confederated Way
Pendleton, OR 97801

Mailing address

2815 Williams Rd
Walla Walla, WA 99362-9707
Phone (509) 529-8019

Other identifiers 1

IdentifierTypeStateIssuer
171037MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
090006946RNORMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Yellowhawk Tribal Health Center PastSince Feb 10, 2018 Accepting new patients
Arias Physical Therapy Inc PastSince Apr 21, 2016 Accepting new patients
Walla Walla Physical Therapy Center Aps PastSince Jan 1, 1999 Accepting new patients
Assured Imaging Womens Wellness of Washington, LLC Past Accepting new patients

Organizations & group practices 4

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1699922385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 WILLIAMS RD",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993629707",
            "telephone_number": "509-529-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73265 CONFEDERATED WAY",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "97801",
            "telephone_number": "541-966-9830",
            "fax_number": "541-278-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAICEDO",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "credential": "ARNP, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "OR",
            "license": "090006946RN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171037",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.