Audrey Castell Watts, RD
Individual provider Active NPI Registered Dietitian · Orange, CT
NPI 1861995599 · NPPES record last updated Jun 9, 2020
Key facts
- NPI
- 1861995599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86037307
- Practice address
- 500 Boston Post Rd
Orange, CT 06477-3530 - Phone
- (203) 598-2606
- Fax
- (888) 855-7803
- NPI assigned
- Mar 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
500 Boston Post Rd
Orange, CT 06477-3530
Phone (203) 671-3392
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200915000661 | CT | Practitioner - Registered Dietitian Or Nutrition Professional | 3971921594 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001630 | CT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Krystock LLC | Dietitian, Registered | Current |
Accepting new patients |
| Clifford W. Beers Guidance Clinic Inc | Past | Accepting new patients |
Locations
500 Boston Post Rd
Orange, CT 06477
Phone (203) 671-3392
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86037307 | Yes |
Addresses
Primary practice location
500 Boston Post Rd
Orange, CT 06477-3530
Mailing address
58 Park Terrace Ave
West Haven, CT 06516-5233
Phone (203) 598-2606
Other practice location 1
41 Marne St
Hamden, CT 06514
Phone (203) 772-1270
Other names
- Audrey Castell-Watts
Other providers in Orange, CT
- Andrew Carlson
- Richard Martin Carpenos
- Meagan Marie Carr
- James Case
- Michael L. Casinelli
- Constance Catrone
- Center for Orthopaedics, PC
- Jenny Cha
- Saikrishna Chalasani
- Shaowei Chen
All providers in Orange, CT · Registered Dietitian in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.