Casey Lynn Kusich, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN007585 Issued in PA

Practice address

11623 Harmonsburg Rd
Conneaut Lake, PA 16316-6333

Phone

(724) 813-1289

NPI assigned

Oct 16, 2023

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Allegheny Clinic

  dba AHN-Primary Care Bethel Park

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1073081493
  Medicare reassignment NPD
• Allegheny Clinic

  dba AHN Primary Care Mobile Clinic

  • Primary Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1215752548
  NPD
• Allegheny Clinic

  dba Allegheny Health Network - Slippery Rock Primary Care

  • Internal Medicine Physician
  • Slippery Rock, PA
  • NPI 1245621440
  NPD

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1457133571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 HARMONSBURG RD",
            "city": "CONNEAUT LAKE",
            "state": "PA",
            "postal_code": "163166333",
            "telephone_number": "724-813-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11623 HARMONSBURG RD",
            "city": "CONNEAUT LAKE",
            "state": "PA",
            "postal_code": "163166333",
            "telephone_number": "724-813-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSICH",
        "first_name": "CASEY",
        "middle_name": "LYNN",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria L Hildebran
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• Beverly A Kennedy, RPH
• Brett Alan Keyser, D.C.
• Carolyn Knox
• Lakeside Chiropractic PC
• Lakeside Physical Therapy and Wellness LLC
• Izabella Leguard, MPAS, PA-C
• Mark J Leonard, P.T., D.P.T.
• Kimberly Nicole Litwin, PHARMD

• Registered Dietitian in Conneaut Lake, PA
• Providers in Conneaut Lake, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.

Verify at the official NPI Registry.