Active NPI
Korrine Madison Altieri
- Registered Dietitian
- Edgartown, MA
National Provider Identifier
1508554122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86087919
- Practice address
- 19 Edgewood Dr.
Edgartown, MA 02539 - Phone
- (914) 621-2786
- NPI assigned
- May 1, 2023
- 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 | 86087919 | MA | Primary |
Addresses
Primary practice location
19 Edgewood Dr.
Edgartown, MA 02539
Mailing address
PO Box 3231
Edgartown, MA 02539-3231
Phone (914) 621-2786
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 |
|---|---|---|---|
| 86087919 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1508554122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3231",
"city": "EDGARTOWN",
"state": "MA",
"postal_code": "025393231",
"telephone_number": "914-621-2786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 EDGEWOOD DR.",
"city": "EDGARTOWN",
"state": "MA",
"postal_code": "02539",
"telephone_number": "914-621-2786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTIERI",
"first_name": "KORRINE",
"middle_name": "MADISON",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "86087919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgartown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.