Caitlin Stavish

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

MC61359162 Issued in WA

Practice address

4126 E Madison St Ste 204
Seattle, WA 98112-3345

Phone

(206) 926-9901

NPI assigned

Jun 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Karen Pavlidis PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Seattle, WA
  • NPI 1417686965
  NPD

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1700561891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 HARVARD AVE APT 303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 E MADISON ST STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123345",
            "telephone_number": "206-926-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVISH",
        "first_name": "CAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "MC61359162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elenore Staton, LMHC
• Katy L Staton, LMP
• Heidi Stauber, LMFTA
• Erika Stauffer
• Catherine Elizabeth Staunton, M.D.
• Joseph James Stavlo, PTA
• Agatha C. Stavnesli, RDH
• Aaron Nathaniel Stayman, M.D.
• Samantha Stazo, APRN-CNP
• Monica Ste Marie, PHARMD, BCPS

• Student in an Organized Health Care Education/Training Program in Seattle, WA
• Providers in Seattle, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.