MS. KATHERINE L CADDELL


Address: 203 W. Fox St., Carlsbad, NM 88220-5736
Phone: 5058872919

MS. KATHERINE L CADDELL (NPI# 1811906472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811906472
Entity Type Individual
Full Name MS. KATHERINE L CADDELL
Other Name MRS. LORI K OROSCO
Credential ABOC
Practice Address 203 W. Fox St.
Carlsbad
NM 88220-5736
Practice Telephone 5058872919
Practice Fax Number 5058852713
Mailing Telephone 5058872919
Mailing Fax Number 5058852713
Enumeration Date 2006-08-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
134655 NM Eye and Vision Services Providers

Office Location

Street Address 203 W. FOX ST.
City CARLSBAD
State NM
Zip Code 88220-5736

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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Competitor

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City CARLSBAD
Zip Code 88220

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Dataset Information

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.

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