Individual provider Active NPI

Caitlyn B Faul, MPH, RD, LDN, CDCES

  • Registered Dietitian
  • Boston, MA
National Provider Identifier
1598465031
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN6769 Issued in MA
Practice address
300 Longwood Ave
Boston, MA 02115-5724
Phone
(617) 355-6000
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered Dietitian 133VN1004X 6769 MA
Registered Dietitian 133V00000X LDN6769 MA Primary

Addresses

Primary practice location

300 Longwood Ave
Boston, MA 02115-5724

Mailing address

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

Other practice location 1

541 Main St
Weymouth, MA 02190-1868
Phone (781) 216-3800

Other practice location 2

500 Faunce Corner Rd
Dartmouth, MA 02747-1278
Phone (781) 216-2400

Other practice location 3

14 Prospect St Fl 2
Milford, MA 01757-3003
Phone (781) 216-0030

Other practice location 4

9 Hope Ave
Waltham, MA 02453-2741
Phone (617) 355-2079

Other names 1

  • Caitlyn R Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231201000442 MA Practitioner - Registered Dietitian Or Nutrition Professional 9739537713 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LDN6769MAMDRegistered Dietitian
6769MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Childrens Heart Foundation Inc CurrentSince Apr 10, 2024 Accepting new patients
Children'S Hospital Pediatric Associates, Inc CurrentSince Oct 22, 2023 Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

14 Prospect St
Fl 2
Milford, MA 01757
Phone (781) 216-0030

500 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-2216

9 Hope Ave
Waltham, MA 02453
Phone (617) 243-5590

541 Main St
Weymouth, MA 02190
Phone (781) 331-7866

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1598465031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 Main St",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021901868",
            "country_code": "US",
            "telephone_number": "781-216-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Faunce Corner Rd",
            "address_purpose": "LOCATION",
            "city": "Dartmouth",
            "state": "MA",
            "postal_code": "027471278",
            "country_code": "US",
            "telephone_number": "781-216-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Prospect St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MA",
            "postal_code": "017573003",
            "country_code": "US",
            "telephone_number": "781-216-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Hope Ave",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024532741",
            "country_code": "US",
            "telephone_number": "617-355-2079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUL",
        "first_name": "CAITLYN",
        "middle_name": "B",
        "credential": "MPH, RD, LDN, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "MA",
            "license": "6769",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN6769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "BROWN",
            "middle_name": "R",
            "credential": "RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.