CAITLIN CARR RD, CDCES
NPI 1104534643
Dietitian, Registered in Portland, OR

Active since November 14, 2022Accepts Medicare Assignment
19500 SE STARK ST, PORTLAND, OR 97233(410) 960-5120 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Nov 14, 2022 (2 updates tracked since 2022).

About Caitlin Carr Rd, Cdces NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAITLIN CARR RD, CDCES (NPI 1104534643) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (10217394) and active in the NPI registry since November 2022. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1104534643
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCAITLIN CARRCredential: RD, CDCES
Location Address19500 SE STARK STPortland, OR 97233-5757
Mailing Address1806 Hall CtWest Linn, OR 97068-4124 · (410) 960-5120
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 14, 2022
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1104534643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in OR · 10217394
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedSpecialistTaxonomy 174400000X · License 32308621
19500 SE STARK ST, Portland, OR 97233

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Caitlin Carr Rd, Cdces is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446622849
PECOS Enrollment IDI20230213001545, I20231227002136

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
19500 SE STARK ST
PORTLAND, OR 97233
Nurse Practitioner (Family)
19500 SE STARK ST, PORTLAND
PORTLAND, OR 97233
Student in an Organized Health Care Education/Training Program
19500 SE STARK ST
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
19500 SE STARK ST
PORTLAND, OR 97233
Psychologist (Clinical)
19500 SE STARK ST
PORTLAND, OR 97233
Advanced Practice Midwife
19500 SE STARK ST
PORTLAND, OR 97233
Internal Medicine
19500 SE STARK ST
PORTLAND, OR 97233
Social Worker
19500 SE STARK ST
PORTLAND, OR 97233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caitlin Carr's NPI number?

The NPI number for Caitlin Carr is 1104534643. It was assigned to this individual provider in the NPPES registry on November 14, 2022.

Where is Caitlin Carr located?

Caitlin Carr practices at 19500 SE Stark St, Portland, OR 97233. The listed phone number is (410) 960-5120.

What is Caitlin Carr's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Caitlin Carr enrolled in Medicare?

Yes. Caitlin Carr is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Caitlin Carr accept?

Health plans from Providence Health Plan list Caitlin Carr as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caitlin Carr was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.