CAITLYN KACZOR CRNP NPI 1275921330

NPI Information

NPI: 1275921330
Provider Name: CAITLYN KACZOR, CRNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
205 SOUTH FRONT STREET
6TH FLOOR BMA
HARRISBURG, PA
ZIP 17104
Phone: (717) 988-9370
Get Directions

Caitlyn Kaczor, CRNP is a gerontology nurse practitioner in Harrisburg, PA with 12 years of experience. Caitlyn Kaczor, CRNP NPI is 1275921330. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIV OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE
Graduation Year:2012

The provider's business location address is:

205 SOUTH FRONT STREET
6TH FLOOR BMA
HARRISBURG, PA
ZIP 17104-619
Phone: (717) 988-9370
Fax: (717) 703-0154

The NPI 1275921330 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 enumeration date for this NPI number is 12/24/2014 and was last updated on 7/7/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		SP014525	PENNSYLVANIA	No
2	363LA2200X	Nurse Practitioner	Adult Health	SP014525	PENNSYLVANIA	No
3	363LG0600X	Nurse Practitioner	Gerontology	SP014525	PENNSYLVANIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »