Active NPI
Kristy Del Coro, MS, RDN
- Registered Dietitian
- North Yarmouth, ME
National Provider Identifier
1154616365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00978064
- Practice address
- 165 Walnut Hill Rd
North Yarmouth, ME 04097-6507 - Phone
- (410) 430-0730
- NPI assigned
- Jun 15, 2011
- Last updated
- Dec 29, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 48 006579 | NY | |
| Registered Dietitian | 133V00000X | 00978064 | Primary |
Addresses
Primary practice location
165 Walnut Hill Rd
North Yarmouth, ME 04097-6507
Mailing address
165 Walnut Hill Rd
North Yarmouth, ME 04097-6507
Phone (410) 430-0730
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48 006579 | NY | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1154616365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 WALNUT HILL RD",
"city": "NORTH YARMOUTH",
"state": "ME",
"postal_code": "040976507",
"telephone_number": "410-430-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 WALNUT HILL RD",
"city": "NORTH YARMOUTH",
"state": "ME",
"postal_code": "040976507",
"telephone_number": "410-430-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL CORO",
"first_name": "KRISTY",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "48 006579",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "00978064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.