MS. CATHERINE CAILLOUETTE (NPI# 1538381231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538381231 |
| Entity Type | Individual |
| Full Name | MS. CATHERINE CAILLOUETTE |
| Credential | RN, CPNP |
| Practice Address |
300 Longwood Ave Dept Of Boston MA 02115-5724 |
| Mailing Address |
300 Longwood Ave Dept Plastic Boston MA 02115-5724 |
| Practice Telephone | 6173552340 |
| Mailing Telephone | 6173552340 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
190669 | MA | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
190669 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASS HEALTH PROVIDER NUMB | 0318001 | 01 |
| Street Address |
300 LONGWOOD AVE DEPT OF |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657016 | Matthew Asermely | Dentist | 300 Longwood Ave Dept Of, Boston, MA 02115-5724 | 2020-07-28 |
| 1780202846 | Imari-ashley Fulache Palma | Psychologist | 300 Longwood Ave Dept Of, Boston, MA 02115-5724 | 2020-07-06 |
| 1376003251 | Lukas Kames Gaffney | Pediatrics | 300 Longwood Ave Dept Of, Boston, MA 02115-5724 | 2019-03-25 |
| 1144789140 | Evida Dennis | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave Dept Of, Boston, MA 02115-5724 | 2019-03-19 |
| 1811464837 | Erin Halley Stockman | Nurse Practitioner | 300 Longwood Ave Dept Of, Boston, MA 02115-5737 | 2018-10-29 |
| 1760985568 | Jillian Simon | Physician Assistant | 300 Longwood Ave Dept Of, Boston, MA 02115 | 2018-03-18 |
| 1295178549 | Maricarmen Roche Rodriguez | Anesthesiology | 300 Longwood Ave Dept Of, Boston, MA 02115-5724 | 2013-04-16 |
| 1467742486 | Sarah Elizabeth Fleet | Pediatrics | 300 Longwood Ave Dept Of, Boston, MA 02115-5724 | 2011-04-11 |
| 1144489055 | Mariette Tyedmers | Technician/Technologist | 300 Longwood Ave Dept Of, Boston, MA 02115-5724 | 2008-06-05 |
| 1134305071 | Jonathan Oren Lipton | Psychiatry & Neurology | 300 Longwood Ave Dept Of, Fegan 11, Boston, MA 02115-5724 | 2008-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
| 1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
| 1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
| 1629549977 | Michelle Nicole Deonarine | Nurse Practitioner | Center for Spina Bifida and Spinal Cord Conditions, Boston Childrens Hospital Hu 390. 300 Longwood Ave, Boston, MA 02115-0211 | 2018-12-16 |
| 1871060905 | Chloe Faye Banks | Nurse Practitioner | 300 Longwood Ave Dept Farley2, Boston, MA 02115-5724 | 2018-10-26 |
| 1801262050 | Kate Mysak | Nurse Practitioner | 300 Longwood Ave # Fegan9, Boston, MA 02115-5724 | 2015-08-11 |
| 1639501331 | Rebecca Marie Stevens | Nurse Practitioner | 300 First Ave, Boston, MA 02129 | 2013-08-05 |
| 1811290380 | Tracy Mahoney | Nurse Practitioner | 300 Longwood Ave Unit 9nw, Boston, MA 02115 | 2010-12-06 |
| 1639407513 | Courtney Loper Risley | Nurse Practitioner | Boston Children's Hospital, 300 Longwood Avenue, Farley Building Room 403, Boston, MA 02115 | 2009-12-03 |
| 1417103193 | Loren Jean D'angelo | Nurse Practitioner | 300 Longwood Ave -, Children's Hospital Boston Fegan 707, Boston, MA 02113 | 2008-08-13 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.