Individual provider Active NPI

Colleen Marie Caulfield, MS, RD

  • Registered Dietitian
  • Wilmington, DE
National Provider Identifier
1619663614
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN-0011081 Issued in DE
Practice address
501 W 14TH St FL 4
Wilmington, DE 19801-1013
Phone
(302) 623-3475
Fax
(302) 325-5889
NPI assigned
Apr 12, 2023
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN008017 PA
Registered Dietitian 133V00000X DN-0011081 DE Primary

Addresses

Primary practice location

501 W 14TH St FL 4
Wilmington, DE 19801-1013

Mailing address

222 Philadelphia Pike Ste 13-15
Wilmington, DE 19809-3166
Phone (302) 407-5316

Other practice location 1

222 Philadelphia Pike Ste 13-15
Wilmington, DE 19809-3166
Phone (302) 407-5316

Other names 1

  • Colleen Marie Herman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705000266 DE Practitioner - Registered Dietitian Or Nutrition Professional 2466996111 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN008017PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Dietitian, Registered CurrentSince Jun 24, 2024 Accepting new patients
Delaware Dietitian LLC Dietitian, Registered Current Accepting new patients
Christiana Care Health Services, Inc Dietitian, Registered Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jun 24, 2024 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
The Life Center Complex, Inc PastSince Apr 1, 2023 Accepting new patients

Locations

3506 Kennett Pike
Wilmington, DE 19807
Phone (302) 661-3000

501 W 14th St
#4
Wilmington, DE 19801
Phone (302) 661-3070

501 W 14th St
Fl 4
Wilmington, DE 19801
Phone (302) 623-3475

Organizations & group practices 6

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": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1619663614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PHILADELPHIA PIKE STE 13-15",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198093166",
            "telephone_number": "302-407-5316",
            "fax_number": "302-407-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST FL 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-623-3475",
            "fax_number": "302-325-5889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Philadelphia Pike Ste 13-15",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198093166",
            "country_code": "US",
            "telephone_number": "302-407-5316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAULFIELD",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN008017",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DE",
            "license": "DN-0011081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "HERMAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.