Active NPI
Marybeth Caputo, RD LDN CDCES
- Registered Dietitian
- Canonsburg, PA
National Provider Identifier
1265186373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 817454
- Practice address
- 114 Suncrest CT
Canonsburg, PA 15317-4865 - Phone
- (724) 514-7511
- NPI assigned
- Feb 8, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 817454 | PA | Primary |
Addresses
Primary practice location
114 Suncrest CT
Canonsburg, PA 15317-4865
Mailing address
114 Suncrest CT
Canonsburg, PA 15317-4865
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 |
|---|---|---|---|
| 817454 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1265186373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 SUNCREST CT",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153174865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 SUNCREST CT",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153174865",
"telephone_number": "724-514-7511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPUTO",
"first_name": "MARYBETH",
"credential": "RD LDN CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "817454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canonsburg, PA
- Canonsburg General Hospital
- Canonsburg General Hospital - Spu
- Canonsburg General Hospital Ambulance Service
- Canonsburg Podiatry Associates
- Alyssa Capatolla, NP
- Shelley D'Orazio Carbaugh, M.A., LPC
- Caregivers on Demand LLC
- Judy Irene Carl Berg, LPC
- Carter Home Care, LLC (Home Helpers Home Care of Washington PA)
- Lynn Ann Casciola, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.