Corinne Altamira, MS, RD, LDN
Individual provider Active NPI Registered Dietitian · Madison, WI
NPI 1235696642 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1235696642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 3436-29 (WI)
- Practice address
- 1102 S Park St
Madison, WI 53715-1708 - Phone
- (608) 263-7500
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201211002252 | WI | Practitioner - Registered Dietitian Or Nutrition Professional | 8628480837 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86108905 | NC | MD | Registered Dietitian |
| 3436-29 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients |
Locations
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
1102 S Park St
Madison, WI 53715
Phone (608) 263-3111
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86108905 | NC | |
| Registered Dietitian | 133V00000X | 3436-29 | WI | Yes |
Addresses
Primary practice location
1102 S Park St
Madison, WI 53715-1708
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Other practice location 1
131 Medical Park Rd Ste 303
Mooresville, NC 28117-8525
Phone (704) 660-4902
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86108905 | Other | NC | STATE PLAN |
Other providers in Madison, WI
- James David Alstott
- Harlee J Alsum
- Pamela B Alsum
- Kelsey G Alt
- Robert L Alt
- Michael M Altaweel
- Alteas Health Pulmonary of Wisconsin S.C.
- Altegra Health Connections, LLC
- Albert Jerviss Alter Jr.
- Jennifer Altmann
All providers in Madison, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.