Individual provider Active NPI

Corissa M Albert, MS, RD, LDN

  • Registered Dietitian
  • Carlisle, PA
National Provider Identifier
1174138069
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006711 Issued in PA
Practice address
801 N Hanover St
Carlisle, PA 17013-1598
Phone
(717) 249-5322
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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 DN006711 PA Primary

Addresses

Primary practice location

801 N Hanover St
Carlisle, PA 17013-1598

Mailing address

801 N Hanover St
Carlisle, PA 17013-1599
Phone (717) 357-5677

Other practice location 1

1070 Stouffer Ave
Chambersburg, PA 17201-2938
Phone (717) 263-0436

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address corissa.albert@sodexo.com 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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN006711PAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1174138069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N HANOVER ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170131599",
            "telephone_number": "717-357-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N HANOVER ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170131598",
            "telephone_number": "717-249-5322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1070 Stouffer Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172012938",
            "country_code": "US",
            "telephone_number": "717-263-0436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "CORISSA",
        "middle_name": "M",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "corissa.albert@sodexo.com",
            "affiliation": "N",
            "endpointDescription": "Sodexo",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22 Cold Springs Rd",
            "city": "Dillsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170191549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.