Individual provider Active NPI

Caitlin White Lewis, MS, RD

  • Registered Dietitian
  • Bluffton, SC
National Provider Identifier
1992337307
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1162 Issued in SD
Practice address
30 Blue Trail CT
Bluffton, SC 29910-9596
Phone
(757) 339-3875
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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 1162 SD Primary

Addresses

Primary practice location

30 Blue Trail CT
Bluffton, SC 29910-9596

Mailing address

30 Blue Trail CT
Bluffton, SC 29910-9596
Phone (757) 339-3875

Other identifiers 1

IdentifierTypeStateIssuer
1162OtherSCSOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING & REGULATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Hushmail Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1162SDMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1992337307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BLUE TRAIL CT",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109596",
            "telephone_number": "757-339-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BLUE TRAIL CT",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109596",
            "telephone_number": "757-339-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CAITLIN",
        "middle_name": "WHITE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SD",
            "license": "1162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING & REGULATION",
            "identifier": "1162",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hushmail",
            "affiliation": "N",
            "endpointDescription": "HIPPA SECURE EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30 Blue Trail Ct",
            "city": "Bluffton",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299109596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

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

Verify at the official NPI Registry.