Healthcare Provider Details

I. General information

NPI: 1144051343
Provider Name (Legal Business Name): KAT CALISTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2024
Last Update Date: 10/07/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

000 NOTHING HILL
COLORADO CO
80923
US

IV. Provider business mailing address

000 NOTHING HILL
COLORADO SPRINGS CO
80923-5231
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone: --
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0009925491
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: