Organization Active NPI

Caitlin Abdulla LLC

  • Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1750241907
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CAITLIN ABDULLA LLC
Practice address
4220 Lake Ave
Buffalo, NY 14219-1217
Phone
(716) 222-2028
Fax
(716) 259-8058
NPI assigned
Nov 12, 2025
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Caitlin Brooks
Title
Owner
Phone
(716) 861-2745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

4220 Lake Ave
Buffalo, NY 14219-1217

Mailing address

254 Ingham Ave
Lackawanna, NY 14218-2542
Phone (716) 222-2028

National Provider Directory

National Provider Directory

Locations

4220 Lake Ave
Buffalo, NY 14219
Phone (716) 222-2028

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1750241907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 INGHAM AVE",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142182542",
            "telephone_number": "716-222-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 LAKE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142191217",
            "telephone_number": "716-222-2028",
            "fax_number": "716-259-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAITLIN ABDULLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-861-2745"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.