Active NPI
Corrine Kanetski, RD, LDN
- Registered Dietitian
- Allentown, PA
National Provider Identifier
1255925814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN004622
- Practice address
- 1917 W Tremont St Apt 5
Allentown, PA 18104-3771 - Phone
- (862) 219-1506
- NPI assigned
- Feb 24, 2021
- Last updated
- Jul 3, 2023
- 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 | DN004622 | PA | Primary |
Addresses
Primary practice location
1917 W Tremont St Apt 5
Allentown, PA 18104-3771
Mailing address
1917 W Tremont St Apt 5
Allentown, PA 18104-3771
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN004622 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1255925814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 W TREMONT ST APT 5",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181043771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1917 W TREMONT ST APT 5",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181043771",
"telephone_number": "862-219-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANETSKI",
"first_name": "CORRINE",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-24",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN004622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.