Organization Active NPI

Katelyn Castro Nutrition

  • Registered Dietitian
  • Woburn, MA
National Provider Identifier
1366913782
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86031480 Issued in MA
Legal business name
KATELYN CASTRO NUTRITION
Practice address
19 Charles St
Woburn, MA 01801-3035
Phone
(781) 249-6910
NPI assigned
Dec 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Authorized official

Name
Ms. Katelyn Castro, MS, RD, LDNNPI 1912416066
Title
Registered Dietitian, Nutritionist
Phone
(781) 249-6910

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 86031480 MA Primary

Addresses

Primary practice location

19 Charles St
Woburn, MA 01801-3035

Mailing address

19 Charles St
Woburn, MA 01801-3035

Other practice location 1

14 Kelly Drive
Woburn, MA 01801
Phone (781) 249-6910

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1366913782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CHARLES ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CHARLES ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013035",
            "telephone_number": "781-249-6910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Kelly Drive",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "01801",
            "country_code": "US",
            "telephone_number": "781-249-6910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATELYN CASTRO NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN, NUTRITIONIST",
        "authorized_official_telephone_number": "781-249-6910",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "86031480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.