Individual provider Active NPI

Cristina Michelle Caro, MBA, RD, LD

  • Registered Dietitian
  • Cartersville, GA
National Provider Identifier
1104836162
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD002502 Issued in GA
Practice address
775 West Ave
Suite a
Cartersville, GA 30120-3481
Phone
(678) 234-0225
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD002502 GA Primary

Addresses

Primary practice location

775 West Ave
Suite a
Cartersville, GA 30120-3481

Mailing address

1276 Winesap Dr
Suite B
Austell, GA 30106-1439
Phone (678) 234-0225

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 Business Administration

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104836162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 WINESAP DR",
            "address_2": "SUITE B",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061439",
            "telephone_number": "678-234-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 WEST AVE",
            "address_2": "SUITE A",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203481",
            "telephone_number": "678-234-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARO",
        "first_name": "CRISTINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "MBA, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.