Provider Demographics
NPI:1942883566
Name:KNIGHT, CAROLINE JOYCE (RD)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:JOYCE
Last Name:KNIGHT
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 1:5300 MEADOW CHASE RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-6313
Mailing Address - Country:US
Mailing Address - Phone:804-338-9636
Mailing Address - Fax:
Practice Address - Street 1:5300 MEADOW CHASE RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-6313
Practice Address - Country:US
Practice Address - Phone:804-338-9636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-02
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86147052133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered