Active NPI
Caroline Holbrook, MS, RDN
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1790470383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86066664
- Practice address
- 7850 Vista Hill Ave
San Diego, CA 92123-2717 - Phone
- (858) 836-8434
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86066664 | AL | Primary |
Addresses
Primary practice location
7850 Vista Hill Ave
San Diego, CA 92123-2717
Mailing address
2206 Adams Ave Apt C
San Diego, CA 92116-1220
Phone (205) 533-4065
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86066664 | AL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1790470383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2206 ADAMS AVE APT C",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921161220",
"telephone_number": "205-533-4065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 VISTA HILL AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232717",
"telephone_number": "858-836-8434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "CAROLINE",
"credential": "MS, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2023-04-10",
"certification_date": "2023-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "86066664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.