Active NPI
Devon Leigh Kroesche, RDN
- Registered Dietitian
- Pittsburgh, PA
National Provider Identifier
1780357988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN007487
- Practice address
- 5750 Baum Blvd Ste 305
Pittsburgh, PA 15206-3793 - Phone
- (267) 701-3566
- NPI assigned
- Jul 26, 2021
- 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 | DN007487 | PA | Primary |
Addresses
Primary practice location
5750 Baum Blvd Ste 305
Pittsburgh, PA 15206-3793
Mailing address
5750 Baum Blvd Ste 305
Pittsburgh, PA 15206-3793
Phone (267) 701-3566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
104 Fairwood Dr
Syracuse, NY 13219-2733
5100 W Genesee St
Camillus, NY 13031-2354
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN007487 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Case Specific Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
5750 Baum Blvd
Ste 306
Pittsburgh, PA 15206
Phone (412) 593-2048
5750 Baum Blvd
Ste 305
Pittsburgh, PA 15206
Phone (267) 701-3566
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 and National Provider Directory roles.
-
- Registered Dietitian
- Pittsburgh, PA
- NPI 1750758561
Dietitian, Registered
-
- Registered Dietitian
- Camillus, NY
- NPI 1730851346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1780357988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 BAUM BLVD STE 305",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063793",
"telephone_number": "267-701-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 BAUM BLVD STE 305",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063793",
"telephone_number": "267-701-3566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROESCHE",
"first_name": "DEVON",
"middle_name": "LEIGH",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-26",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN007487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.