Active NPI
Caitlyn Corradino, RDN
- Registered Dietitian
- Denver, CO
National Provider Identifier
1033779137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 4495 W 36TH Ave Unit C
Denver, CO 80212-2187 - Phone
- (973) 647-2242
- NPI assigned
- Jun 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
4495 W 36TH Ave Unit C
Denver, CO 80212-2187
Mailing address
4495 W 36TH Ave Unit C
Denver, CO 80212-2187
Phone (973) 647-2242
Other practice location 1
353 Lexington Ave Ste 300
New York, NY 10016-0941
Phone (973) 647-2242
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Soul Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
353 Lexington Ave
Ste 300
New York, NY 10016
Phone (917) 727-7896
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1033779137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4495 W 36TH AVE UNIT C",
"city": "DENVER",
"state": "CO",
"postal_code": "802122187",
"telephone_number": "973-647-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4495 W 36TH AVE UNIT C",
"city": "DENVER",
"state": "CO",
"postal_code": "802122187",
"telephone_number": "973-647-2242"
}
],
"practiceLocations": [
{
"address_1": "353 Lexington Ave Ste 300",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100160941",
"country_code": "US",
"telephone_number": "973-647-2242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORRADINO",
"first_name": "CAITLYN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-19",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.