Individual provider Active NPI

Kaitlyn Corey

  • Nurse Practitioner
  • North East, PA
National Provider Identifier
1699243824
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019353 Issued in PA
Practice address
2060 N Pearl St
North East, PA 16428-1926
Phone
(814) 877-7711
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP019353 PA Primary

Addresses

Primary practice location

2060 N Pearl St
North East, PA 16428-1926

Mailing address

909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477
Phone (443) 383-9300

Other practice location 1

905 Tower Rd Ste 3188
Bristol, PA 19007-3116
Phone (443) 483-9300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaitlyn.kaiser@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181212000621 PA Practitioner - Nurse Practitioner 8224372685 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Medical Associates Nurse Practitioner CurrentSince Jun 21, 2025 Accepting new patients
Healing Partners Plus PLLC CurrentSince Jul 1, 2025 Accepting new patients
Regional Health Services Inc CurrentSince Nov 26, 2018 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657

905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300

905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201

905 Tower Rd
Bristol, PA 19007
Phone (215) 785-2109

3330 Peach St
Ste 106B
Erie, PA 16508
Phone (814) 877-5570

333 State St
Ste 103
Erie, PA 16507

4850 Zuck Rd
Erie, PA 16506
Phone (412) 824-3397

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

2060 N Pearl St
North East, PA 16428
Phone (814) 454-8287

50 N Pennsylvania Ave
#V
Wilkes Barre, PA 18701

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1699243824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIDGEBROOK RD STE 300",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529477",
            "telephone_number": "443-383-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 N PEARL ST",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281926",
            "telephone_number": "814-877-7711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Tower Rd Ste 3188",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "PA",
            "postal_code": "190073116",
            "country_code": "US",
            "telephone_number": "443-483-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COREY",
        "first_name": "KAITLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaitlyn.kaiser@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North East, PA

Sources for this page

Verify at the official NPI Registry.