Active NPI
Caitlin Carbine, RDN
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1033974027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86156921
- Practice address
- 2018 N Hope St
Philadelphia, PA 19122-1707 - Phone
- (302) 354-7748
- NPI assigned
- Feb 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86156921 | PA | Primary |
Addresses
Primary practice location
2018 N Hope St
Philadelphia, PA 19122-1707
Mailing address
199 Barberry Dr
Wilmington, DE 19808-4328
Phone (302) 354-7748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86156921 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1033974027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 BARBERRY DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198084328",
"telephone_number": "302-354-7748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 N HOPE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191221707",
"telephone_number": "302-354-7748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBINE",
"first_name": "CAITLIN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "86156921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.