Active NPIIndividual providerSole proprietor

Caitlin J Koniarczyk, RDN

Dietitian, Registered in Ledyard, Connecticut

NPI Number1386267631
Practice location
13 Peach Tree Hill Ave, Ledyard, CT 06339-1651
Fax
—
Last updated
October 20, 2026

Caitlin Jo Koniarczyk is a Dietitian, Registered based in Ledyard, CT. Caitlin Jo Koniarczyk practices in Ledyard, CT and has the professional credentials of RDN. The NPI Number for Caitlin Jo Koniarczyk is 1386267631 and holds a License No. 86070211 (CT). The current practice location address for Caitlin Jo Koniarczyk is 13 Peach Tree Hill Ave, Ledyard, CT 06339-1651 and can be reached out via phone at 720-987-4627.

Provider Profile Details

NPI Number
1386267631
Provider Name
Caitlin Jo Koniarczyk
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
13 Peach Tree Hill Ave, Ledyard, CT 06339-1651
Phone Number
720-987-4627
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Other Names
Caitlin Jo Jacobsen (Former Name)
Provider Enumeration Date
May 21, 2020
Last Update Date
October 20, 2026
Certification Date
October 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
13 Peach Tree Hill Ave
Ledyard, CT 06339-1651
Zip
06339-1651
Phone Number
720-987-4627
Ledyard, CT 06339Get directions →

Provider Business Mailing Address Details

Address
13 Peach Tree Hill Ave
Ledyard, CT 06339-1651
City
Ledyard
State
CT
Zip
06339-1651
Phone Number
720-987-4627

License Information

License Number (1)
86070211
License State (1)
CT
Taxonomy (1)
Dietitian, Registered · 133V00000X · Primary
License Number (2)
86070211
License State (2)
RI
Taxonomy (2)
Dietitian, Registered · 133V00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Caitlin J Koniarczyk, RDN?

The NPI number of Caitlin J Koniarczyk, RDN is 1386267631. It was assigned on May 21, 2020 and is currently active in the NPPES registry.

What is the specialty of Caitlin J Koniarczyk, RDN?

Caitlin J Koniarczyk, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 86070211.

Where does Caitlin J Koniarczyk, RDN practice?

The practice location is 13 Peach Tree Hill Ave, Ledyard, CT 06339-1651. The office can be reached at 720-987-4627 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386267631 directly on the NPPES registry website.

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