Caitlyn Marie Fredere, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L005593 Issued in NC

Practice address

306 Pomona Dr Ste F
Greensboro, NC 27407-1643

Phone

(336) 541-6475

Fax

(336) 541-6485

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Caitlyn Marie Akins 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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1508568700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3859 SMOKEY QUARTZ CT APT 2A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274098624",
            "telephone_number": "828-386-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 POMONA DR STE F",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071643",
            "telephone_number": "336-541-6475",
            "fax_number": "336-541-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERE",
        "first_name": "CAITLYN",
        "middle_name": "MARIE",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "AKINS",
            "middle_name": "MARIE",
            "credential": "RDN, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Glenda Frazier, RN
• Kenneth A Frazier, LPC
• Natalie K Frazier, CNM
• Niakesha Frazier, PMHNP-BC, FNP-C
• Fred B Lopp DDS PA
• Frederick a. Lupton III MD PA
• Charles E. Frederick, MD
• Cherie Dawn Fredericks, OTR/L
• Corey Jordan Fredericks
• Freedme

• Registered Dietitian in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.