Caitlin Russell, MS, RD, LD
NPI 1104173061ActiveIndividual· Dietitian, Registered· Marietta, GA
Dietitian, Registered (MS, RD, LD) in Marietta, Georgia, licensed in GA, with an NPI issued in August 2012. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1104173061 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, LD |
| Sole proprietor | No |
| NPI issued | Aug 10, 2012 |
| Last updated in NPPES | Oct 24, 2024 |
| Certified by provider | Oct 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | LD003912 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (GA) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
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All 52 registered dietitians in Marietta · All registered dietitians in Georgia