Casey R Colin, DCN, RDN, LN, CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0351 Issued in SD

Practice address

4822 Boat Landing Dr
St Augustine, FL 32092-3693

Phone

(605) 695-1485

NPI assigned

Aug 8, 2008

Last updated

Aug 30, 2021By the provider in NPPES

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 names 1

• Casey R Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1477709541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 BOAT LANDING DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923693",
            "telephone_number": "605-695-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 BOAT LANDING DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923693",
            "telephone_number": "605-695-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLIN",
        "first_name": "CASEY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DCN, RDN, LN, CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SD",
            "license": "0351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "THOMPSON",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stanley A Cohen, D.O.P.A.
• Mathew Joseph Colaluca, DC
• Brittany Cole, OT
• Audrey Becker Coleman, PA-C
• Erin Coletti, DO
• Isabela Collins, LAT, ATC
• Kayla Collins, OT
• Lacandace Collins, LMHC
• Ragan Collins, DC
• Marilu Colon, M.D.

• Registered Dietitian in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.