Individual provider Active NPI

Kaitlin Moses, RD, LDN

  • Registered Dietitian
  • Durham, NC
National Provider Identifier
1922766724
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86148610 Issued in CA
Practice address
5504 Bridgeman CT
Durham, NC 27703-8538
Phone
(207) 951-4180
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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 86148610 CA Primary

Addresses

Primary practice location

5504 Bridgeman CT
Durham, NC 27703-8538

Mailing address

5504 Bridgeman CT
Durham, NC 27703-8538
Phone (207) 951-4180

Other practice location 1

23 Carver Ln
Sunol, CA 94586-9441
Phone (408) 753-0552

Other practice location 2

4422 Hacienda Dr Apt 311
Pleasanton, CA 94588-4873
Phone (207) 951-4180

Other names 1

  • Kaitlin Saulter Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
86148610CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1922766724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 BRIDGEMAN CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038538",
            "telephone_number": "207-951-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 BRIDGEMAN CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038538",
            "telephone_number": "207-951-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Carver Ln",
            "address_purpose": "LOCATION",
            "city": "Sunol",
            "state": "CA",
            "postal_code": "945869441",
            "country_code": "US",
            "telephone_number": "408-753-0552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4422 Hacienda Dr Apt 311",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945884873",
            "country_code": "US",
            "telephone_number": "207-951-4180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "KAITLIN",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86148610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "SAULTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.