Active NPI
Cory Joseph Krusinski
- Registered Dietitian
- Macedonia, OH
National Provider Identifier
1275310641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86075564
- Practice address
- 8166 Wren Dr
Macedonia, OH 44056-2127 - Phone
- (216) 225-6336
- NPI assigned
- Sep 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86075564 | OH | Primary |
| Home Health Aide | 374U00000X | OH |
Addresses
Primary practice location
8166 Wren Dr
Macedonia, OH 44056-2127
Mailing address
8166 Wren Dr
Macedonia, OH 44056-2127
Phone (216) 225-6336
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 |
|---|---|---|---|
| 86075564 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1275310641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8166 WREN DR",
"city": "MACEDONIA",
"state": "OH",
"postal_code": "440562127",
"telephone_number": "216-225-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8166 WREN DR",
"city": "MACEDONIA",
"state": "OH",
"postal_code": "440562127",
"telephone_number": "216-225-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSINSKI",
"first_name": "CORY",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "86075564",
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macedonia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.