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DR. CAITLIN DIANA PRICKETT D.O. NPI 1053706895


NPI Information

NPI: 1053706895
Provider Name: DR. CAITLIN DIANA PRICKETT, D.O.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Organization: THE SOUTHEAST PERMANENTE MEDICAL GROUP

PECOS Registration: Yes

CLIA Number: 10D2244525

Address:
825 MEADOWS RD STE 111
BOCA RATON, FL
ZIP 33486
Phone: (561) 961-3005
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DR. Caitlin Diana Prickett, D.O. is an internal medicine in Boca Raton, FL with 9 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Caitlin Diana Prickett, D.O. NPI is 1053706895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2015

The provider's business location address is:

825 MEADOWS RD STE 111
BOCA RATON, FL
ZIP 33486-347
Phone: (561) 961-3005
Fax: (561) 516-8318

The NPI 1053706895 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D2244525 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/30/2015 and was last updated on 2/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine081209GEORGIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207R00000XInternal MedicineOS18156FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.