Individual provider Active NPI

Corresa E Whyte, RD

  • Registered Dietitian
  • Valley Stream, NY
National Provider Identifier
1487600854
Registry record updated Jan 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
004534-1 Issued in NY
Practice address
430 W Merrick Rd
Ste 16
Valley Stream, NY 11580-5201
Phone
(516) 816-0126
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 004534-1 NY Primary

Addresses

Primary practice location

430 W Merrick Rd
Ste 16
Valley Stream, NY 11580-5201

Mailing address

430 W Merrick Rd
Ste 16
Valley Stream, NY 11580-5201
Phone (718) 276-0365

Other names 1

  • Corresa Elmay Whyte Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
004534-1NYMDRegistered Dietitian
004534NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
C Whyte Nutrition Solutions, LLC Dietitian, Registered CurrentSince Apr 19, 2020 Accepting new patients
Laurelton Heart Specialist P.C. Past Accepting new patients
Federation Employment and Guidance Service, Inc Past Accepting new patients
Hemmings LCSW Counseling PC PastSince Apr 12, 2019 Accepting new patients

Locations

430 W Merrick Rd
Ste 16
Valley Stream, NY 11580
Phone (516) 816-0126

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453507200000",
    "number": "1487600854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W MERRICK RD",
            "address_2": "STE 16",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805201",
            "telephone_number": "718-276-0365",
            "fax_number": "718-276-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W MERRICK RD",
            "address_2": "STE 16",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805201",
            "telephone_number": "516-816-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHYTE",
        "first_name": "CORRESA",
        "middle_name": "E",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2016-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "004534-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORRESA",
            "last_name": "WHYTE",
            "middle_name": "ELMAY",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2016; 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.