Caitlin Susannah Kawamura, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD004770 Issued in GA

Practice address

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031

Phone

(404) 271-7403

Fax

(404) 616-2422

NPI assigned

Oct 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Caitlin Susannah Hobbs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1952852584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 COLLIER RD NW",
            "address_2": "APARTMENT 2113",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180907",
            "telephone_number": "404-271-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033031",
            "telephone_number": "404-271-7403",
            "fax_number": "404-616-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAMURA",
        "first_name": "CAITLIN",
        "middle_name": "SUSANNAH",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "HOBBS",
            "middle_name": "SUSANNAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew William Kavolus, MD
• Anita Kaw
• Kaveeta Kaw, MD PHD
• Kento Kawai
• Russell Kawakami, LPC
• Veronica Kawan
• Jennifer Fay Kawwass, M.D.
• Lauren Kay Louis, D.C.
• Diann Kayah
• Prakhya Kayal

• Registered Dietitian in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.