=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477471142
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CAITLIN ONEILL FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2026
-----------------------------------------------------
Last Update Date | 07/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1662 CENTRAL AVE
-----------------------------------------------------
City | ALBANY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12205-4059
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-240-1456
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 249 MILLERS CORNERS RD
-----------------------------------------------------
City | AVERILL PARK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12018-3759
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-708-7344
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | F360055-01
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------