Healthcare Provider Details

I. General information

NPI: 1902700917
Provider Name (Legal Business Name): CAITLIN DIEL MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 WASHINGTON ST UNIT 234
DURHAM NC
27701-2147
US

IV. Provider business mailing address

701 WASHINGTON ST UNIT 234
DURHAM NC
27701-2147
US

V. Phone/Fax

Practice location:
  • Phone: 919-671-5066
  • Fax:
Mailing address:
  • Phone: 919-671-5066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL009579
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: