Carolyn Christine McCorkindale, MPH, RD, CDE

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

016559 Issued in CA

Practice address

3451 Hart Common
Fremont, CA 94538

Phone

(510) 490-9250

NPI assigned

Nov 13, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1245567155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 HART COMMON",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-490-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 HART COMMON",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-490-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORKINDALE",
        "first_name": "CAROLYN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "MPH, RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "CA",
            "license": "016559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Szeto McAdams, P.T.
• Colleen Alice McCall, BCAT, RBT
• Mathew McCallacreary
• Darci McCarroll
• Marybeth McCarthy
• Glenn Paul McCormick, D.D.S.
• Kelsey Marie McCormick
• Mahalia McCoy, RN,FNP
• Veronica Victoria McCurtis-Mitchell
• Christine A. McCutcheon

• Metabolic Nutrition Registered Dietitian in Fremont, CA
• Providers in Fremont, CA by specialty
• Metabolic Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.