Individual provider Active NPI

Kathleen Ann Dicarlo, RDN, LDN

  • Registered Dietitian
  • Nottingham, MD
National Provider Identifier
1245121094
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
5020 Campbell Blvd Ste L&M
Nottingham, MD 21236-4968
Phone
(410) 870-3808
NPI assigned
Jul 10, 2025
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 MD Primary

Addresses

Primary practice location

5020 Campbell Blvd Ste L&M
Nottingham, MD 21236-4968

Mailing address

1713 Woodhome Dr
Bel Air, MD 21015-6279
Phone (443) 619-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211000359 MD Practitioner - Registered Dietitian Or Nutrition Professional 0244719136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Health Weight Management, LLCGroup PAC ID 0840634267, 103 clinicians

Practice addresses (Care Compare)

1099 Winterson Rd
Suite 300
Linthicum, MD 21090-2279
Phone (800) 905-3261

5022 Campbell Blvd
Suite LM
Nottingham, MD 21236-4969
Phone (410) 870-3808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Health Weight Management, LLC Dietitian, Registered CurrentSince Oct 27, 2025 Accepting new patients

Locations

499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832

1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785

Interoperability endpoints

  • Direct secure messaging: dicarlo.kathleen@ca-md.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1245121094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 WOODHOME DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156279",
            "telephone_number": "443-619-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 CAMPBELL BLVD STE L&M",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364968",
            "telephone_number": "410-870-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICARLO",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.