Individual provider Active NPI

Kayla Renee Aluise, RD, CSO, LD

  • Oncology Nutrition Registered Dietitian
  • Youngstown, OH
National Provider Identifier
1609403492
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Nutrition Registered DietitianTaxonomy code 133VN1301X
License
LD.6910 Issued in OH
Practice address
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone
(330) 480-8030
Fax
(330) 480-8049
NPI assigned
Mar 24, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Nutrition Registered Dietitian 133VN1301X LD.6910 OH Primary

Addresses

Primary practice location

1044 Belmont Ave
Youngstown, OH 44504-1006

Mailing address

13250 Old Hickory CT
North Lima, OH 44452-8527
Phone (330) 831-1806

Other practice location 1

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-4177

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Epic Health Information Exchange (HIE) Mercy Health Youngstown LLC
CONNECT URL Epic Health Information Exchange (HIE) Mercy Health Youngstown LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220125003034 PA Practitioner - Registered Dietitian Or Nutrition Professional 5799177705 Reassigns benefits to 1 organization
I20240709002183 OH Practitioner - Registered Dietitian Or Nutrition Professional 5799177705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

718 E 3Rd St
Salem, OH 44460-3418
Phone (330) 333-8990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD.6910OHMDOncology Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ka Wellness and Nutrition LLC CurrentSince May 23, 2024 Accepting new patients
Cornerstone Wellness Center Inc CurrentSince Dec 21, 2021 Accepting new patients

Locations

718 E 3rd St
Salem, OH 44460
Phone (330) 333-8990

265 3rd St
#2
Beaver, PA 15009
Phone (724) 371-0177

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1609403492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13250 OLD HICKORY CT",
            "city": "NORTH LIMA",
            "state": "OH",
            "postal_code": "444528527",
            "telephone_number": "330-831-1806",
            "fax_number": "330-480-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-480-8030",
            "fax_number": "330-480-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "667 Eastland Ave SE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444844503",
            "country_code": "US",
            "telephone_number": "330-841-4177",
            "fax_number": "330-841-4598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALUISE",
        "first_name": "KAYLA",
        "middle_name": "RENEE",
        "credential": "RD, CSO, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "OH",
            "license": "LD.6910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Epic",
            "affiliation": "Y",
            "endpointDescription": "Electronic Medical Record",
            "affiliationName": "Mercy Health Youngstown LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1044 Belmont Ave",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445041006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Epic",
            "affiliation": "Y",
            "endpointDescription": "Electronic Medical Record",
            "affiliationName": "Mercy Health Youngstown LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "667 Eastland Ave SE",
            "city": "Warren",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444844503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.