Caitlin Briana Moeller, MSC, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003057 Issued in GA

Practice address

134 W Campus Dr
Campus Box 126
Milledgeville, GA 31061-3639

Phone

(478) 445-8672

NPI assigned

Dec 19, 2016

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

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1982149431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W CAMPUS DR",
            "address_2": "CAMPUS BOX 126",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613639",
            "telephone_number": "478-445-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W CAMPUS DR",
            "address_2": "CAMPUS BOX 126",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613639",
            "telephone_number": "478-445-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "CAITLIN",
        "middle_name": "BRIANA",
        "credential": "MSC, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine E Milnes, AU.D.
• Kyaw Minn, M.D.
• Sallyann Mary Mitchell-Strange, NP
• Brooks Anne Mitchell, PA-C
• David W. Mitchell, CRNA
• Bernadette Ann Moore, LPC
• William R Moore, PHARM D
• Keith Marquette Morgan, P.T.
• Brandon Trace Morris
• Mary Elizabeth Morris, MAT, ATC/LAT, CES

• Athletic Trainer in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.