Individual provider Active NPI

Caroline Webber

  • Registered Dietitian
  • Bear, DE
National Provider Identifier
1821733858
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN-0000786 Issued in DE
Practice address
121 Becks Woods Dr Ste 100
Bear, DE 19701-3853
Phone
(302) 365-8333
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X
Registered Dietitian 133V00000X DN-0000786 DE Primary

Addresses

Primary practice location

121 Becks Woods Dr Ste 100
Bear, DE 19701-3853

Mailing address

800 Delaware Ave FL 5
Wilmington, DE 19801-1366
Phone (302) 266-9166

Other identifiers 1

IdentifierTypeStateIssuer
DN-0000786OtherDEPROFESSIONAL STATE LICENSE

Other names 1

  • Caroline Wilson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220517000252 DE Practitioner - Registered Dietitian Or Nutrition Professional 9436536299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Medical LLCGroup PAC ID 8325062144, 6 clinicians

Practice addresses (Care Compare)

121 Becks Wood Dr
Bear, DE 19701-3853
Phone (302) 365-8333

537 Stanton Christiana Rd
Suite 102
Newark, DE 19713-2145
Phone (302) 365-8333

600 Delaware Ave
Wilmington, DE 19801-1430
Phone (302) 365-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical, LLC CurrentSince May 9, 2022 Accepting new patients

Locations

161 Becks Woods Dr
Bear, DE 19701
Phone (302) 365-8333

121 Becks Woods Dr
Ste 100
Bear, DE 19701
Phone (302) 836-8200

800 Delaware Ave
Fl 5
Wilmington, DE 19801
Phone 3022669166454

600 Delaware Ave
Wilmington, DE 19801
Phone (302) 261-5600

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d0607508-3922-4bbc-924a-d608b5ffe3b7/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1821733858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 DELAWARE AVE FL 5",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011366",
            "telephone_number": "302-266-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BECKS WOODS DR STE 100",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013853",
            "telephone_number": "302-365-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DE",
            "license": "DN-0000786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL STATE LICENSE",
            "identifier": "DN-0000786",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "WILSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.