Active NPI
Caleb Wilson, RD
- Registered Dietitian
- Tucson, AZ
National Provider Identifier
1881475382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 7490 S Camino de Oeste
Tucson, AZ 85746-9308 - Phone
- (520) 879-6137
- NPI assigned
- Oct 10, 2023
- Last updated
- Oct 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | AZ | Primary |
Addresses
Primary practice location
7490 S Camino de Oeste
Tucson, AZ 85746-9308
Mailing address
5025 N 1St Ave Apt 210
Tucson, AZ 85718-5657
Phone (602) 531-5741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Clinics for Rehabilitative Services | Current | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600
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.
-
dba Children's Clinics
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1063454346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1881475382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5025 N 1ST AVE APT 210",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857185657",
"telephone_number": "602-531-5741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7490 S CAMINO DE OESTE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857469308",
"telephone_number": "520-879-6137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CALEB",
"name_prefix": "Mr.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-10",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.