Provider Demographics
NPI:1346539764
Name:PRESCOTT, CAITLIN MARIE (DNP, PHMNP)
Entity type:Individual
Prefix:MS
First Name:CAITLIN
Middle Name:MARIE
Last Name:PRESCOTT
Suffix:
Gender:F
Credentials:DNP, PHMNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 ESCALANTE DR STE 202
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81303-8932
Mailing Address - Country:US
Mailing Address - Phone:970-403-5127
Mailing Address - Fax:970-238-5444
Practice Address - Street 1:1305 ESCALANTE DR STE 202
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303-8932
Practice Address - Country:US
Practice Address - Phone:970-403-5127
Practice Address - Fax:970-238-5444
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0990064-NP363LP0808X
COAPN0990064NP363LW0102X
CONP-009964363LW0102X
NMAPRNCNP01730363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM03853811Medicaid
CO50989065Medicaid