Individual provider Active NPI

Caroline Miriam Fox, RD

  • Registered Dietitian
  • Franklin, WI
National Provider Identifier
1306493556
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
5128 Issued in MA
Practice address
9969 S 27TH St
Franklin, WI 53132-9533
Phone
(414) 325-4950
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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 5128 MA Primary

Addresses

Primary practice location

9969 S 27TH St
Franklin, WI 53132-9533

Mailing address

140 Kenrick St
Apt 25
Brighton, MA 02135-3830
Phone (414) 325-4950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191002002627 WI Practitioner - Registered Dietitian Or Nutrition Professional 3870823909 Reassigns benefits to 1 organization
I20210423001820 MA Practitioner - Registered Dietitian Or Nutrition Professional 3870823909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hallmark Health Medical Associates IncGroup PAC ID 4385638782, 151 clinicians

Practice addresses (Care Compare)

91 Montvale Ave
Suite 208
Stoneham, MA 02180-3649
Phone (781) 306-6166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5128MAMDOcularist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Sep 23, 2019 Accepting new patients
Hallmark Health Medical Associates Inc CurrentSince Jan 26, 2025 Accepting new patients
Tufts Medical Center, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Tufts Medical Center, Inc. CurrentSince Dec 1, 2022 Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

750 Washington St
#833
Boston, MA 02111
Phone (617) 636-4800

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

91 Montvale Ave
Ste 208
Stoneham, MA 02180
Phone (781) 279-1123

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

9969 S 27th St
Franklin, WI 53132
Phone (414) 325-2229

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1306493556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 KENRICK ST",
            "address_2": "APT 25",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353830",
            "telephone_number": "414-325-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9969 S 27TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329533",
            "telephone_number": "414-325-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "CAROLINE",
        "middle_name": "MIRIAM",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "5128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.