Caitilin Perez, MFN, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1108367

Practice address

11305 Kessler PL
Manassas, VA 20109-7781

Phone

(540) 761-9932

NPI assigned

Feb 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Nourished Nutrition Counseling & Education

  dba Nourished NCE

  • Registered Dietitian
  • Manassas, VA
  • NPI 1225713134

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1740987627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11305 KESSLER PL",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201097781",
            "telephone_number": "540-761-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11305 KESSLER PL",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201097781",
            "telephone_number": "540-761-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CAITILIN",
        "name_prefix": "Mrs.",
        "credential": "MFN, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1108367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Edward Peltier I, MD
• Nicole Penke, MD
• Anna Penna, MD
• Victoria Pennant, LPC
• Tricia Marie Carr Peny, MPT
• Katherine Michele Perez, LPC
• Michael D Perez, M.D.
• Nydia Perez, BCBA, LBA
• Kymeera Perkins
• Sharon Elizabeth Perrine, LPC

• Registered Dietitian in Manassas, VA
• Providers in Manassas, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.