Staci Cortelezzi, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD.08300 Issued in OH

Practice address

18780 Bagley Rd Ste 108
Cleveland, OH 44130-3304

Phone

(440) 816-2330

NPI assigned

Oct 6, 2020

Last updated

Aug 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, TX2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Southwest General Medical Group Inc

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1134239676
  Medicare reassignment NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment NPD
• Outreach Professional Services Inc

  dba St Vincent Medical Group

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1134119829
  NPD
• Outreach Professional Services, Inc

  dba St Vincent Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, OH
  • NPI 1104371640
  NPD
• Southwest General Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Middleburg HTS, OH
  • NPI 1588393979
  NPD
• Southwest General Medical Group, Inc.

  • Family Medicine Physician
  • Strongsville, OH
  • NPI 1104975895
  NPD

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1760089411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638269",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18780 BAGLEY RD STE 108",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303304",
            "telephone_number": "440-816-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTELEZZI",
        "first_name": "STACI",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.08300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon M Corrigan Lakatos, LPCC-S
• Catilin Corrigan
• Kathryn Corrigan, MD
• Mandy Corrigan, RD
• Mary V Corrigan, MD
• Bernardo Cortese, MD
• Jane E Corteville, MD
• Lissette Cortez
• Katherine Corvi, PSYD
• Brian Corwin, M.D.

• Registered Dietitian in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.