Organization Active NPI

Caitlin Johnson, Rd, Inc.

  • Registered Dietitian
  • Santa Maria, CA
National Provider Identifier
1306463534
Registry record updated Jul 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CAITLIN JOHNSON, RD, INC.
Practice address
110 N McClelland St
Santa Maria, CA 93454-4419
Phone
(805) 471-0111
Fax
(805) 335-6877
NPI assigned
Jul 4, 2020
Last updated
Jul 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Caitlin Johnson, RDNPI 1134671274
Title
Owner
Phone
(805) 471-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

110 N McClelland St
Santa Maria, CA 93454-4419

Mailing address

110 N McClelland St
Santa Maria, CA 93454-4419

National Provider Directory

National Provider Directory

Locations

110 N McClelland St
Santa Maria, CA 93454
Phone (805) 471-0111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593820800000",
    "number": "1306463534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N MCCLELLAND ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544419",
            "fax_number": "805-335-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N MCCLELLAND ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544419",
            "telephone_number": "805-471-0111",
            "fax_number": "805-335-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAITLIN JOHNSON, RD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-04",
        "last_updated": "2020-07-04",
        "certification_date": "2020-07-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-471-0111",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.