Carolyn Jean Nathan, RD, CDE

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

0952-0355 Issued in CA

Practice address

1820 Serra Way
Paso Robles, CA 93446-5426

Phone

(805) 226-2009

NPI assigned

Jun 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Carolyn Jean Turner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Diabetes Wellness Center, a Nursing Corporation

  • Metabolic Nutrition Registered Dietitian
  • Pismo Beach, CA
  • NPI 1487653036

  Nutrition, Metabolic

  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1407851710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SERRA WAY",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934465426",
            "telephone_number": "805-226-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SERRA WAY",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934465426",
            "telephone_number": "805-226-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "CAROLYN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "R388547  (RD)",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "CA",
            "license": "0952-0355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "TURNER",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lesley Ann Moore, DMD
• Charles J. Moran, M.D.
• Aidan Karina Munoz-Christian
• Pablo Enrique Munoz
• Janeen Murphy, LMFT
• National Vision, Inc.
• Nci Affiliates, Incorporated
• Robert Graydon Nelson
• Walton Miller Newlon
• David Aaron Nicklas, D.C.

• Metabolic Nutrition Registered Dietitian in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Metabolic Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.