Healthcare Provider Details

I. General information

NPI: 1700738572
Provider Name (Legal Business Name): CAITLIN DANIELLE HOUSE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 HIGHLAND RD STE 1
RICHMOND IN
47374-8810
US

IV. Provider business mailing address

1100 REID PKWY
RICHMOND IN
47374-1157
US

V. Phone/Fax

Practice location:
  • Phone: 765-962-4444
  • Fax:
Mailing address:
  • Phone: 765-983-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71017753A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: