Active NPI
Korie Mangiaracina, RD
- Registered Dietitian
- Newtown, PA
National Provider Identifier
1700218005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 002064
- Practice address
- 650 Durham Rd
Newtown, PA 18940-9618 - Phone
- (267) 217-1330
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 002064 | IA | Primary |
Addresses
Primary practice location
650 Durham Rd
Newtown, PA 18940-9618
Mailing address
237 Jacksonville Rd Apt 146F
Hatboro, PA 19040-2639
Phone (319) 430-8166
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 |
|---|---|---|---|
| 002064 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1700218005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 JACKSONVILLE RD APT 146F",
"city": "HATBORO",
"state": "PA",
"postal_code": "190402639",
"telephone_number": "319-430-8166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 DURHAM RD",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189409618",
"telephone_number": "267-217-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGIARACINA",
"first_name": "KORIE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "002064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.