Active NPI
Caitlyn Edson, RD
- Registered Dietitian
- Ballston Spa, NY
National Provider Identifier
1992329049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86103786
- Practice address
- 329 Jatski Dr
Ballston Spa, NY 12020-2682 - Phone
- (518) 338-8507
- NPI assigned
- Jun 4, 2020
- Sex
- Female
- 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 | 86103786 | NY | Primary |
Addresses
Primary practice location
329 Jatski Dr
Ballston Spa, NY 12020-2682
Mailing address
329 Jatski Dr
Ballston Spa, NY 12020-2682
Phone (518) 338-8507
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86103786 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caitlyn Edson Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1992329049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 JATSKI DR",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120202682",
"telephone_number": "518-338-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 JATSKI DR",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120202682",
"telephone_number": "518-338-8507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDSON",
"first_name": "CAITLYN",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-04",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86103786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballston Spa, NY
- Eileen Duell
- Nicole Dunson, LMHC
- Melissa Danielle Duquette
- Early Start Evaluation Therapy and Educational Services PLLC
- Megan Joan Eaton, PA
- Ellis Hospital (Ellis Primary Care - Ballston Spa)
- Empire State Wheelchair Inc.
- Angela Ertelt, LMHC.
- Steven Esposito, D.M.D.
- Eugene K. Merecki, MD PC (Malta Family Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.