Active NPI
Valarie Kornblet, CNC
- Case Manager/Care Coordinator
- Saint Louis, MO
National Provider Identifier
1003548819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 463 Ridgecorde PL
Saint Louis, MO 63141-7609 - Phone
- (314) 853-0051
- NPI assigned
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dietary Manager | 132700000X | |||
| Nutritionist | 133N00000X | 1220823249 | MO | |
| Nutrition Education Nutritionist | 133NN1002X | 1220823249 | MO | |
| Home Modifications Contractor | 171WH0202X | |||
| Community Health Worker | 172V00000X | |||
| Case Management Agency | 251B00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
463 Ridgecorde PL
Saint Louis, MO 63141-7609
Mailing address
463 Ridgecorde PL
Saint Louis, MO 63141-7609
Phone (314) 853-0051
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://thegoodhealthnetwork.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1220823249 | MO | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everydays Gourmet LLC | Nutrition, Education | Current | Accepting new patients |
| Everydays Gourmet LLC | Nutritionist | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obesity and Weight Management Nutrition Registered Dietitian
- Saint Louis, MO
- NPI 1760120992
Nutritionist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1003548819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 RIDGECORDE PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417609",
"telephone_number": "314-853-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 RIDGECORDE PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417609",
"telephone_number": "314-853-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNBLET",
"first_name": "VALARIE",
"credential": "CNC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MO",
"license": "1220823249",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": "MO",
"license": "1220823249",
"primary": false
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://thegoodhealthnetwork.org",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "463 Ridgecorde Pl",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631417609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.