Active NPI
Caroline Patrick, MS, RD, LD
- Registered Dietitian
- Austin, TX
National Provider Identifier
1205345824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT84285
- Practice address
- 2324 E Cesar Chavez St
Austin, TX 78702-4604 - Phone
- (937) 829-5921
- NPI assigned
- Sep 26, 2017
- Last updated
- Sep 26, 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 | DT84285 | TX | Primary |
Addresses
Primary practice location
2324 E Cesar Chavez St
Austin, TX 78702-4604
Mailing address
1801 E 51St St
Suite 365 #219
Austin, TX 78723-3500
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506384000000",
"number": "1205345824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 E 51ST ST",
"address_2": "SUITE 365 #219",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2324 E CESAR CHAVEZ ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787024604",
"telephone_number": "937-829-5921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "CAROLINE",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2017-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT84285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.