Individual provider Active NPI

Erin Caroulis, MPH, RD, LDN, CDE

  • Registered Dietitian
  • Havertown, PA
National Provider Identifier
1831431444
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003822 Issued in PA
Practice address
113 Milard LN
Havertown, PA 19083-5101
Phone
(610) 247-4785
NPI assigned
Mar 21, 2013
Last updated
Apr 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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 DN003822 PA Primary

Addresses

Primary practice location

113 Milard LN
Havertown, PA 19083-5101

Mailing address

113 Milard LN
Havertown, PA 19083-5101
Phone (610) 247-4785

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

State licenses

LicenseStateTypeSpecialty
DN003822PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Eat With Erin Dietitian, Registered CurrentSince Mar 7, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1831431444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MILARD LN",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835101",
            "telephone_number": "610-247-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MILARD LN",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835101",
            "telephone_number": "610-247-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROULIS",
        "first_name": "ERIN",
        "credential": "MPH, RD, LDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.