Caitlyn Edson Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

CAITLYN EDSON NUTRITION, LLC

Practice address

2691 State Route 9 Ste 102
Malta, NY 12020-4319

Phone

(518) 338-8507

NPI assigned

Sep 25, 2023

Last updated

Sep 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Caitlyn Edson, RDNPI 1992329049

Title

Registered Dietitian, Owner

Phone

(518) 338-8507

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caitlyn Edson, RD

  • Registered Dietitian
  • Ballston Spa, NY
  • NPI 1992329049

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1700665338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 JATSKI DR",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 STATE ROUTE 9 STE 102",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204319",
            "telephone_number": "518-338-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAITLYN EDSON NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A",
        "authorized_official_last_name": "EDSON",
        "authorized_official_first_name": "CAITLYN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN, OWNER",
        "authorized_official_telephone_number": "518-338-8507",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Lynn Brothers
• Christine Buhlinger, DO
• Christopher Burns, DMD
• Jacqueline Ann Butera
• Jordan E Byerly, PHARMD
• Emma Lee Cameron, DDS
• Brett J. Campbell, MD
• Sawyer Nicholas Cantz, RN
• Theresa Cantz
• Capital Area Physical Therapy, PLLC

• Registered Dietitian in Malta, NY
• Providers in Malta, NY by specialty
• Registered Dietitian in New York

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