Provider Demographics
NPI:1437589520
Name:RONDELLO, CAITLIN A (MS, RD, LD)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:A
Last Name:RONDELLO
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:NEHMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1821 S STOUGHTON RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53716-2257
Mailing Address - Country:US
Mailing Address - Phone:608-260-6000
Mailing Address - Fax:608-260-3577
Practice Address - Street 1:1821 S STOUGHTON RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53716-2257
Practice Address - Country:US
Practice Address - Phone:608-260-6000
Practice Address - Fax:608-260-3577
Is Sole Proprietor?:No
Enumeration Date:2013-11-26
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2150-29133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered