Kathryn Bernard Petrosky, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN004364 Issued in PA

Practice address

1225 Warm Springs Ave
Huntingdon, PA 16652-2350

Phone

(814) 643-2290

NPI assigned

Jul 22, 2010

Last updated

Nov 30, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1144533837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1994 HIGHLAND DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031305",
            "telephone_number": "301-651-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WARM SPRINGS AVE",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522350",
            "telephone_number": "814-643-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSKY",
        "first_name": "KATHRYN",
        "middle_name": "BERNARD",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102497058 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher James Patitsas, M.D.
• John F Patula, PHARM D
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• Mark M Peters, M.A.
• Bethany Pierotti
• Brittni Ann Pierotti, PA-C
• Kerrie J Pincin, DPT
• Pivotal Pointe, LLC
• Ryan Michael Poboy, PT

• Registered Dietitian in Huntingdon, PA
• Providers in Huntingdon, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.