Carly Gaffney, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86110275

Practice address

85 Nielson St
Watsonville, CA 95076-2485

Phone

(831) 726-4267

NPI assigned

Jan 4, 2022

Last updated

Jan 4, 2022By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pajaro Valley Community Health TrustGroup PAC ID 5193792430, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carly.gaffney.1@19753.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19753/brand/1/csg/1/fhir/r4

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.

• Pajaro Valley Community Health Trust

  dba Diabetes Health Center

  • Local Education Agency (LEA)
  • Watsonville, CA
  • NPI 1447327804
  Medicare reassignment Care Compare group NPD
• Pajaro Valley Community Health Trust

  • Community Health Clinic/Center
  • Watsonville, CA
  • NPI 1134388093
  NPD (past)

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1609537422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 NIELSON ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 NIELSON ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762485",
            "telephone_number": "831-726-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFNEY",
        "first_name": "CARLY",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86110275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86110275",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Front St. Inc.
• Patricia Fuentez
• Maura Furness
• Katherine Gabriel-Cox, MD
• Guy Vernon Gadd, LMFT
• Mayra Galarza Becerra
• Paul Gale
• Galen Inpatient Physicians
• Maribel Galindo Mancera, APCC
• Robert Gallo, LCSW

• Registered Dietitian in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.