Active NPI
Caitlin Graft
- Registered Dietitian
- Gloucester, MA
National Provider Identifier
1174056915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4101
- Practice address
- 66 Sumner St
Gloucester, MA 01930-1550 - Phone
- (757) 871-4258
- NPI assigned
- Apr 8, 2017
- Last updated
- Apr 8, 2017
- 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 | 4101 | MA | Primary |
Addresses
Primary practice location
66 Sumner St
Gloucester, MA 01930-1550
Mailing address
66 Sumner St
Gloucester, MA 01930-1550
Phone (757) 871-4258
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 |
|---|---|---|---|
| 4101 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caitlin Graft, Rd, LDN | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491609600000",
"number": "1174056915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 SUMNER ST",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019301550",
"telephone_number": "757-871-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 SUMNER ST",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019301550",
"telephone_number": "757-871-4258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAFT",
"first_name": "CAITLIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-08",
"last_updated": "2017-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.