Active NPI
Courtney Marie Dedrick, MS RD LDN
- Registered Dietitian
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN007990
- Practice address
- 2690 Clearview Dr
York, PA 17404-1327 - Phone
- (717) 350-3464
- NPI assigned
- Jan 26, 2023
- 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 | DN007990 | PA | Primary |
Addresses
Primary practice location
2690 Clearview Dr
York, PA 17404-1327
Mailing address
2690 Clearview Dr
York, PA 17404-1327
Phone (717) 350-3464
Other practice location 1
1600 6th Ave Ste 114
York, PA 17403-2627
Phone (717) 849-2804
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cdedrick270734@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 6TH Ave
York, PA 17403-2627
2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363
2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- Quality
- 76.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.12
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 65.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients |
Locations
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
1600 6th Ave
Ste 114
York, PA 17403
Phone (717) 755-1244
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.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Harrisburg, PA
- NPI 1639332257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1841906427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 CLEARVIEW DR",
"city": "YORK",
"state": "PA",
"postal_code": "174041327",
"telephone_number": "717-350-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 CLEARVIEW DR",
"city": "YORK",
"state": "PA",
"postal_code": "174041327",
"telephone_number": "717-350-3464"
}
],
"practiceLocations": [
{
"address_1": "1600 6th Ave Ste 114",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174032627",
"country_code": "US",
"telephone_number": "717-849-2804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEDRICK",
"first_name": "COURTNEY",
"middle_name": "MARIE",
"credential": "MS RD LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-26",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN007990",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cdedrick270734@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "1600 6th Ave Ste 114",
"city": "York",
"state": "PA",
"country_code": "US",
"postal_code": "174032627",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.