Active NPI
Caitlin Russo
- Registered Dietitian
- New York, NY
National Provider Identifier
1144144114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD.11713
- Practice address
- 257 Park Ave S
New York, NY 10010-7304 - Phone
- (512) 693-7045
- NPI assigned
- Aug 4, 2026
- 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 | LD.11713 | OH | Primary |
Addresses
Primary practice location
257 Park Ave S
New York, NY 10010-7304
Mailing address
2868 Hopper Way Apt 305
Columbus, OH 43228-4448
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1144144114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2868 HOPPER WAY APT 305",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432284448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 PARK AVE S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107304",
"telephone_number": "512-693-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-04",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.11713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.