Caitlin Brianna Parker, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86054920 Issued in IL

Practice address

332 Mali Heights CT
Henderson, NV 89074-1289

Phone

(479) 402-5009

NPI assigned

Jul 11, 2023

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Southern Nevada Health DistrictGroup PAC ID 3375542939, shared by 3 NPIs, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Southern Nevada Health District

  • Clinical Medical Laboratory
  • Las Vegas, NV
  • NPI 1215315973
  NPD (past)

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1922787662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 MALI HEIGHTS CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741289",
            "telephone_number": "479-402-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 MALI HEIGHTS CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741289",
            "telephone_number": "479-402-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CAITLIN",
        "middle_name": "BRIANNA",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-09-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "86054920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Medical Wear, Inc. (Park Mastectomy Supply)
• Hyo-Jong Park, M.D.
• Jasmin Dahyun Park
• Jaime Parke, CRNA
• Angelique Parker
• Harli Parker
• Lauren Branch Parker, APRN, FNP-C
• Spenser F Parker, PA
• Vanessa C Parker, PHD,RN,PHN,PMHNP-BC
• Youngmi Parker, AGNP-C

• Registered Dietitian in Henderson, NV
• Providers in Henderson, NV by specialty
• Registered Dietitian in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.