Caitlin Michelle Bacon, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5015500 Issued in NC

Practice address

105 River Hills Rd
Asheville, NC 28805-2546

Phone

(828) 771-6921

NPI assigned

Jan 7, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1851052153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CHATFIELD SQ",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154880",
            "telephone_number": "423-794-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RIVER HILLS RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052546",
            "telephone_number": "828-771-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "CAITLIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back in Balance, PA
• Back in Balance, PA
• Back Pain Clinic II, P.a.
• Back to Wellness Physical Therapy LLC
• Derek Hayden Backer, M.D.
• Bruce Kenneth Bacot, M.D.
• Sarah W Baddorf, MD
• Colleen Bader, OTR/L
• Breana Badger, D.C.
• Angela Painter Baechtold, D.D.S.,M.S.,P.A.

• Nurse Practitioner in Asheville, NC
• Providers in Asheville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.