Active NPI
Caroline Rae Kluttz, MS, RDN, LDN
- Registered Dietitian
- Charlotte, NC
National Provider Identifier
1073973434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004846
- Practice address
- 1523 Elizabeth Ave Ste 200
Charlotte, NC 28204-2547 - Phone
- (704) 910-1402
- Fax
- (704) 910-1506
- NPI assigned
- Feb 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | L004846 | NC | Primary |
Addresses
Primary practice location
1523 Elizabeth Ave Ste 200
Charlotte, NC 28204-2547
Mailing address
1523 Elizabeth Ave Ste 200
Charlotte, NC 28204-2547
Phone (704) 910-1402
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004846 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Maeve E. O'Connor MD, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Allergy & Immunology (Internal Medicine) Physician
- Charlotte, NC
- NPI 1922340132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456617600000",
"number": "1073973434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1523 ELIZABETH AVE STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042547",
"telephone_number": "704-910-1402",
"fax_number": "704-910-1506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1523 ELIZABETH AVE STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042547",
"telephone_number": "704-910-1402",
"fax_number": "704-910-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUTTZ",
"first_name": "CAROLINE",
"middle_name": "RAE",
"name_prefix": "Miss",
"credential": "MS, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-28",
"last_updated": "2016-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.