Individual provider Active NPI

Caitlin Blood Hydock, MPH, CHES, NBC-HWC

  • Health & Wellness Coach
  • Mendham, NJ
National Provider Identifier
1417799271
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
29 Galway Dr
Mendham, NJ 07945-2011
Phone
(973) 714-7799
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

29 Galway Dr
Mendham, NJ 07945-2011

Mailing address

29 Galway Dr
Mendham, NJ 07945-2011
Phone (973) 714-7799

Other names 1

  • Caitlin Samantha Blood Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1417799271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 GALWAY DR",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079452011",
            "telephone_number": "973-714-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 GALWAY DR",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079452011",
            "telephone_number": "973-714-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDOCK",
        "first_name": "CAITLIN",
        "middle_name": "BLOOD",
        "credential": "MPH, CHES, NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "BLOOD",
            "middle_name": "SAMANTHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mendham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.