Active NPI
Chimene Castor, RDN, LDN, CHES
- Registered Dietitian
- Columbia, MD
National Provider Identifier
1306382601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D02091
- Practice address
- 6218 Black Cherry Circle
Columbia, MD 21045 - Phone
- (410) 707-2779
- NPI assigned
- Jan 10, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | DI10000575 | DC | |
| Registered Dietitian | 133V00000X | D02091 | MD | Primary |
Addresses
Primary practice location
6218 Black Cherry Circle
Columbia, MD 21045
Mailing address
6218 Black Cherry Cir
Columbia, MD 21045-4462
Phone (410) 707-2779
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI10000575 | DC | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Nutrition Therapy and Counseling LLC | Dietitian, Registered | Current | Accepting new patients |
| The Cedar Health Group LLC | Nutrition, Education | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- Columbia, MD
- NPI 1447972807
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1306382601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6218 BLACK CHERRY CIR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210454462",
"telephone_number": "410-707-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6218 BLACK CHERRY CIRCLE",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21045",
"telephone_number": "410-707-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTOR",
"first_name": "CHIMENE",
"name_prefix": "Dr.",
"credential": "RDN, LDN, CHES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-10",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "DC",
"license": "DI10000575",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "D02091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.