Caitlin Mackenzie Griffin, ATC
Individual provider Active NPI Athletic Trainer · Pittsfield, ME
NPI 1750045191 · NPPES record last updated Mar 24, 2023
Key facts
- NPI
- 1750045191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT907 (ME)
- Practice address
- 101 Cianbro SQ
Pittsfield, ME 04967-6301 - Phone
- (207) 487-3311
- NPI assigned
- Oct 22, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT907 | ME | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | AT907 | ME | Yes |
Addresses
Primary practice location
101 Cianbro SQ
Pittsfield, ME 04967-6301
Mailing address
74 Clewley Hill Rd
Clifton, ME 04428-6118
Phone (207) 349-0668
Other providers in Pittsfield, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.