Individual provider Active NPI

Caitlin Doody, A.P.R.N.

  • Family Nurse Practitioner
  • New Fairfield, CT
National Provider Identifier
1962990291
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7549 Issued in CT
Practice address
89 CT RT 39
New Fairfield, CT 06812
Phone
(860) 237-5511
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7549 CT Primary
Family Nurse Practitioner 363LF0000X 12.007549 CT

Addresses

Primary practice location

89 CT RT 39
New Fairfield, CT 06812

Mailing address

PO Box 511
Sherman, CT 06784-0511
Phone (860) 237-5511

Other practice location 1

944 Danbury Rd
Wilton, CT 06897-4909
Phone (203) 544-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723000534 CT Practitioner - Nurse Practitioner 9436695780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12.007549CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Partners LLC CurrentSince Jul 12, 2024 Accepting new patients
Rise Wellness LLC CurrentSince Feb 2, 2025 Accepting new patients

Locations

164 Mount Pleasant Rd
Ste 200
Newtown, CT 06470
Phone (203) 885-1141

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1962990291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "city": "SHERMAN",
            "state": "CT",
            "postal_code": "067840511",
            "telephone_number": "860-237-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CT RT 39",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "06812",
            "telephone_number": "860-237-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "944 Danbury Rd",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "CT",
            "postal_code": "068974909",
            "country_code": "US",
            "telephone_number": "203-544-0005",
            "fax_number": "203-544-2228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOODY",
        "first_name": "CAITLIN",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7549",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.007549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Fairfield, CT

Sources for this page

Verify at the official NPI Registry.