Healthcare Provider Details

I. General information

NPI: 1528863354
Provider Name (Legal Business Name): CAITLIN EMILY PRIESTER PA-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

1550 CLARENDON BLVD APT 509
ARLINGTON VA
22209-2783
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-7000
  • Fax:
Mailing address:
  • Phone: 901-482-5097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA200002234
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: