Individual provider Active NPI

Courtney Elizabeth Calcaterra, RD

  • Registered Dietitian
  • Grosse Pointe Park, MI
National Provider Identifier
1164260618
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN6776 Issued in MA
Practice address
15001 Kercheval Ave Unit 2040
Grosse Pointe Park, MI 48230-1361
Phone
(313) 318-0318
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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 LDN6776 MA Primary

Addresses

Primary practice location

15001 Kercheval Ave Unit 2040
Grosse Pointe Park, MI 48230-1361

Mailing address

229 Kenwood CT
Grosse Pointe Farms, MI 48236-3517

Other practice location 1

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

Other practice location 2

229 Kenwood Ct
Grosse Pointe Farms, MI 48236-3517
Phone (313) 318-0318

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

LicenseStateTypeSpecialty
LDN6776MAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1164260618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 KENWOOD CT",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 KERCHEVAL AVE UNIT 2040",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301361",
            "telephone_number": "313-318-0318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "229 Kenwood Ct",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Farms",
            "state": "MI",
            "postal_code": "482363517",
            "country_code": "US",
            "telephone_number": "313-318-0318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALCATERRA",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN6776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.