MEDICARE: CAITLYN LOUIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	174400000X	Specialist	CO
2	174N00000X	Lactation Consultant (Non-RN)
3	374J00000X	Doula	CO

General Provider Information

NPI Number	:	1457204927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLYN LOUIS

Provider Business Mailing Address
First Line	:	204 S MULBERRY ST
Second Line	:
City	:	FRUITA
State	:	CO
Zip	:	81521-2613
Country	:	US
Telephone Number	:	513-609-6850
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 W PARK DR STE 105
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1619
Country	:	US
Telephone Number	:	866-218-5769
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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Directions to “ CAITLYN LOUIS ” Practice Location

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