Individual provider Active NPI

Audrey Castell Watts, RD

  • Registered Dietitian
  • Orange, CT
National Provider Identifier
1861995599
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 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
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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 86037307 Primary

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 1

  • Audrey Castell-Watts Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200915000661 CT Practitioner - Registered Dietitian Or Nutrition Professional 3971921594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Krystock LLC Dietitian, Registered CurrentSince Aug 15, 2020 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

Organizations & group practices 2

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": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1861995599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PARK TERRACE AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065165233",
            "telephone_number": "203-598-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773530",
            "telephone_number": "203-598-2606",
            "fax_number": "888-855-7803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Marne St",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "06514",
            "country_code": "US",
            "telephone_number": "203-772-1270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTELL WATTS",
        "first_name": "AUDREY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86037307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "CASTELL-WATTS",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.