Active NPI
Corresa E Whyte, RD
- Registered Dietitian
- Valley Stream, NY
National Provider Identifier
1487600854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 004534-1
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004534-1 | NY | MD | Registered Dietitian |
| 004534 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C Whyte Nutrition Solutions, LLC | Dietitian, Registered | Current | 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 | Past | 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.
-
- Registered Dietitian
- Valley Stream, NY
- NPI 1265052484
Dietitian, Registered
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1942243084
-
- Clinical Social Worker
- Valley Stream, NY
- NPI 1316454903
-
- Cardiovascular Disease Physician
- Laurelton, NY
- NPI 1679769152
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.