Provider Demographics
NPI:1659794212
Name:CHAPMAN, CAITLIN BURLEY (CAA)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:BURLEY
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:CAA
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:BURLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CAA
Mailing Address - Street 1:1301 N TROY ST APT 1204
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-2592
Mailing Address - Country:US
Mailing Address - Phone:706-951-9700
Mailing Address - Fax:
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAA000039367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
1550OtherNCCAA CERTIFICATION