Individual provider Active NPI

Kaitlyn Emma Coroso, MS, RDN, LDN

  • Registered Dietitian
  • Wexford, PA
National Provider Identifier
1144048141
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN007875 Issued in PA
Practice address
430 Ascent Dr Apt 9104
Wexford, PA 15090-6863
Phone
(814) 594-3586
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN007875 PA Primary

Addresses

Primary practice location

430 Ascent Dr Apt 9104
Wexford, PA 15090-6863

Mailing address

430 Ascent Dr Apt 9104
Wexford, PA 15090-6863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260216000140 PA Practitioner - Registered Dietitian Or Nutrition Professional 4688154065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asher Health and Wellness PLLCGroup PAC ID 6204225063, 5 clinicians

Practice addresses (Care Compare)

1002 Emeryville Rd
Mars, PA 16046-4404
Phone (508) 615-7730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN007875PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Asher Health and Wellness PLLC Dietitian, Registered CurrentSince Jan 3, 2026 Accepting new patients

Locations

1002 Emeryville Rd
Mars, PA 16046
Phone (412) 914-8008

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1144048141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 ASCENT DR APT 9104",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 ASCENT DR APT 9104",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906863",
            "telephone_number": "814-594-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COROSO",
        "first_name": "KAITLYN",
        "middle_name": "EMMA",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.