Carrie A Caputo, R.D.
Individual provider Active NPI Registered Dietitian · Mather, CA
NPI 1194086199 · NPPES record last updated Jan 22, 2015
Key facts
- NPI
- 1194086199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1050682 (CA)
- Practice address
- 10535 Hospital Way
BLDG 727
Mather, CA 95655-4200 - Phone
- (916) 843-7000
- NPI assigned
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1050682 | CA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1050682 | CA | Yes |
Addresses
Primary practice location
10535 Hospital Way
BLDG 727
Mather, CA 95655-4200
Mailing address
10535 Hospital Way
BLDG 727
Mather, CA 95655-4200
Phone (916) 843-7000
Other names
- Carrie A Hodges
Other providers in Mather, CA
- Sara Lyndsey Bustos
- Sara Amanda Byrd
- Raymond Byun
- Vincent Douglas Lucero Cagonot
- Bodhi Sorrel Canfield
- Shanna Cavanaugh
- Paige Cawley
- Sherlla Gabrielle Cayanan
- Ian Chan
- Jane Chan
All providers in Mather, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.