Provider Demographics
NPI:1083377501
Name:ASHLEY, CAITLIN REBECCA (RD)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:REBECCA
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 KEISLER DR
Mailing Address - Street 2:STE 101
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-9320
Mailing Address - Country:US
Mailing Address - Phone:919-870-1991
Mailing Address - Fax:919-516-0673
Practice Address - Street 1:8506 SIX FORKS RD STE 104
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3260
Practice Address - Country:US
Practice Address - Phone:571-344-0742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered