Active NPI
Caroline Mendes, R.D.
- Registered Dietitian
- Lynnfield, MA
National Provider Identifier
1588016927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3722
- Practice address
- 7 Kimball LN # C2
Lynnfield, MA 01940-2617 - Phone
- (781) 816-7008
- NPI assigned
- Jul 11, 2016
- Last updated
- Feb 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3722 | MA | Primary |
Addresses
Primary practice location
7 Kimball LN # C2
Lynnfield, MA 01940-2617
Mailing address
1 Fairview St
Saugus, MA 01906-2229
Phone (617) 797-7206
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3722 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renovated Wellness LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
7 Kimball Ln
Lynnfield, MA 01940
Phone (781) 246-2315
7 Kimball Ln
#C
Lynnfield, MA 01940
Phone (781) 245-4434
7 Kimball Ln
#C2
Lynnfield, MA 01940
Phone (781) 816-7008
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740182400000",
"number": "1588016927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FAIRVIEW ST",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019062229",
"telephone_number": "617-797-7206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 KIMBALL LN # C2",
"city": "LYNNFIELD",
"state": "MA",
"postal_code": "019402617",
"telephone_number": "781-816-7008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDES",
"first_name": "CAROLINE",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2025-02-22",
"certification_date": "2025-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.