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CAITLIN WADDLE MS, RDN, LD
NPI 1205218872
Dietitian, Registered - Nutrition, Pediatric in Smyrna, GA

Active since June 19, 2015
4045 ORCHARD RD SE STE 500, SMYRNA, GA 30080(404) 654-3906 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Jul 25, 2018 (2 updates tracked since 2018).

About Caitlin Waddle Ms, Rdn, Ld NPPES

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

CAITLIN WADDLE MS, RDN, LD (NPI 1205218872) is an individual nutrition, pediatric provider in Smyrna, Georgia, licensed in Georgia (LD004395) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1205218872
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameCAITLIN WADDLECredential: MS, RDN, LD
Location Address4045 ORCHARD RD SE STE 500Smyrna, GA 30080-4900
Mailing Address2026 Village Crest Drive NwAtlanta, GA 30318 · (502) 648-9464
Phone(404) 654-3906
Sole ProprietorYes
Enumeration DateJune 19, 2015
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1205218872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License✔ Licensed in GA · LD004395
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
Also ListedNutritionistTaxonomy 133N00000X · License LD004395 (GA)
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X · License LD004395 (GA)
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License LD004395 (GU)
4045 ORCHARD RD SE STE 500, Smyrna, GA 30080
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Other Providers at the Same Location NPPES

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

SPROUT PEDIATRIC NUTRITION LLC
Dietitian, Registered (Nutrition, Pediatric)
4045 ORCHARD RD SE STE 500
SMYRNA, GA 30080
Cobb County (404) 654-3906

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 Waddle's NPI number?

The NPI number for Caitlin Waddle is 1205218872. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Caitlin Waddle located?

Caitlin Waddle practices at 4045 Orchard Rd SE Ste 500, Smyrna, GA 30080. The listed phone number is (404) 654-3906.

What is Caitlin Waddle's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

When was this NPI record last updated?

The NPPES record for Caitlin Waddle was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.