Individual ProviderCarrie A CaputoDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address10535 Hospital Way, Bldg 727, Mather, CA 95655-4200(916) 843-7000PECOS EnrollmentBased on the most recent information from CMS, provider Carrie A Caputo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1194086199Provider TypeIndividualFull NameCaputo, Carrie ACredentialR.D.GenderFemaleSole ProprietorNoEnumeration Date6/6/2012Last Updated1/22/2015Contact InformationPractice LocationPractice Address10535 Hospital Way, Bldg 727, Mather, CA 95655-4200Phone(916) 843-7000FaxUnlisted FaxMailing LocationMailing Address10535 Hospital Way, Bldg 727, Mather, CA 95655-4200Phone(916) 843-7000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicense1050682California