Individual provider Active NPI

Caitlyn Jahn Shoemaker, MS, RDN, LDN, EDRC

  • Registered Dietitian
  • Lambertville, NJ
National Provider Identifier
1316510712
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
89 N Union St
Lambertville, NJ 08530-2001
Phone
(908) 892-4509
NPI assigned
Jul 22, 2021
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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 Primary

Addresses

Primary practice location

89 N Union St
Lambertville, NJ 08530-2001

Mailing address

89 N Union St
Lambertville, NJ 08530-2001

Other identifiers 3

IdentifierTypeStateIssuer
DI61314829OtherWACERTIFIED DIETITIAN NUTRITIONIST (CDN)
DN007567OtherPALICENSED DIETITIAN NUTRITIONIST (LDN)
NU-NU-5365OtherMALICENSED DIETITIAN NUTRITIONIST (LDN)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901001641 WA Practitioner - Registered Dietitian Or Nutrition Professional 3173907672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program PC CurrentSince Jun 6, 2022 Accepting new patients
Emily Program P C CurrentSince Jun 6, 2022 Accepting new patients

Locations

2265 Como Ave
Saint Paul, MN 55108

673 Woodland Square Loop SE
Ste 330
Olympia, WA 98503
Phone (415) 710-6689

1700 Westlake Ave N
Ste 700
Seattle, WA 98109
Phone (206) 283-2220

2020 E 29th Ave
Ste 200
Spokane, WA 99203
Phone (509) 252-1366

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, 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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1316510712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 N UNION ST",
            "city": "LAMBERTVILLE",
            "state": "NJ",
            "postal_code": "085302001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 N UNION ST",
            "city": "LAMBERTVILLE",
            "state": "NJ",
            "postal_code": "085302001",
            "telephone_number": "908-892-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "CAITLYN",
        "middle_name": "JAHN",
        "credential": "MS, RDN, LDN, EDRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED DIETITIAN NUTRITIONIST (CDN)",
            "identifier": "DI61314829",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN NUTRITIONIST (LDN)",
            "identifier": "DN007567",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN NUTRITIONIST (LDN)",
            "identifier": "NU-NU-5365",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lambertville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.