Provider Demographics
NPI:1346734092
Name:GILLESPIE, CAITLIN LEIGH (DO)
Entity type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:LEIGH
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MRS
Other - First Name:CAITLIN
Other - Middle Name:LEIGH
Other - Last Name:RICHTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:14100 CRAWFORD ST
Mailing Address - Street 2:
Mailing Address - City:BOYS TOWN
Mailing Address - State:NE
Mailing Address - Zip Code:68010-7520
Mailing Address - Country:US
Mailing Address - Phone:402-498-1111
Mailing Address - Fax:
Practice Address - Street 1:14080 BOYS TOWN HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:BOYS TOWN
Practice Address - State:NE
Practice Address - Zip Code:68010-7513
Practice Address - Country:US
Practice Address - Phone:531-355-7425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-17
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8321208000000X
NE2433208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics