Active NPI
Carolyn Ann Finnerty, MS, RD, LDN
- Registered Dietitian
- Wilkes Barre, PA
National Provider Identifier
1205429461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN005494
- Practice address
- 41 S Main St
Wilkes Barre, PA 18701-1722 - Phone
- (570) 846-4777
- NPI assigned
- Feb 18, 2021
- 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 | DN005494 | PA | Primary |
Addresses
Primary practice location
41 S Main St
Wilkes Barre, PA 18701-1722
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210304000397 | PA | Practitioner - Registered Dietitian Or Nutrition Professional | 6204242928 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger-HM Joint Venture LLC | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600
41 S Main St
Wilkes Barre, PA 18701
Phone (570) 846-4777
Organizations & group practices 5
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.
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- Family Medicine Physician
- Tunkhannock, PA
- NPI 1891746277
-
- Internal Medicine Physician
- Muncy, PA
- NPI 1952076119
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1073075909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1205429461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 S MAIN ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187011722",
"telephone_number": "570-846-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINNERTY",
"first_name": "CAROLYN",
"middle_name": "ANN",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-18",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN005494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.