Kimberly Caudill, MS, RD, CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

970 Reserve Dr Ste 100
Roseville, CA 95678-1377

Phone

(530) 830-2551

Fax

(997) 000-7116

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Lifestyle Nutrition & Dietetics

  • Registered Dietitian
  • Roseville, CA
  • NPI 1073167409

  Dietitian, Registered

  NPD Authorized official
• David Chien-Ta Hwang O.D.Inc

  • Community Health Clinic/Center
  • Irvine, CA
  • NPI 1841509049
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1356563142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 SEAVEY LN",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956508898",
            "telephone_number": "530-830-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 RESERVE DR STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781377",
            "telephone_number": "530-830-2551",
            "fax_number": "997-000-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "81-4254412",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcella Elaine Castillo
• Jennifer Marie Castle, AUD
• Dianne M Castor, PHARMD
• Carlo G Castro, O.D.
• Melisa Cato, LCSW
• April A. Cauthen, NP
• Jared Cavanaugh, PHARMD
• Joshua Lewis Cavaness, MMS PA-C
• Cristina Cazares
• Edgar Cazares, LCSW, PPSC

• Registered Dietitian in Roseville, CA
• Providers in Roseville, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.