Caryn Hansen

Individual provider Active NPI Nutritionist · Holly Springs, NC

NPI 1376499285 · NPPES record last updated Mar 5, 2026

Key facts

NPI
1376499285
Entity type
Individual (NPI type 1)
Primary specialty
Nutritionist 133N00000X
License
L001550 (NC)
Practice address
825 Rambling Oaks LN
Holly Springs, NC 27540-6172
Phone
(919) 971-1440
NPI assigned
Mar 5, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L001550NCMDNutritionist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X L001550 NC Yes

Addresses

Primary practice location

825 Rambling Oaks LN
Holly Springs, NC 27540-6172

Mailing address

3724 Jefferson St Ste 104
Austin, TX 78731-6204

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 5, 2026.

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1376499285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 JEFFERSON ST STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 RAMBLING OAKS LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406172",
            "telephone_number": "919-971-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CARYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "L001550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

All providers in Holly Springs, NC · Nutritionist in North Carolina

Sources for this page

Verify at the official NPI Registry.