Individual provider Active NPI

Caitlin Munnerlyn, MS, RD, LD

  • Registered Dietitian
  • Flower Mound, TX
National Provider Identifier
1770991283
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86019649 Issued in TX
Practice address
112 Honeysuckle Way
Flower Mound, TX 75028-5142
Phone
(469) 223-0136
NPI assigned
Jul 28, 2014
Last updated
Jul 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86019649 TX Primary

Addresses

Primary practice location

112 Honeysuckle Way
Flower Mound, TX 75028-5142

Mailing address

112 Honeysuckle Way
Flower Mound, TX 75028-5142
Phone (469) 223-0136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86019649TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1770991283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HONEYSUCKLE WAY",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285142",
            "telephone_number": "469-223-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HONEYSUCKLE WAY",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285142",
            "telephone_number": "469-223-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNNERLYN",
        "first_name": "CAITLIN",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86019649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.