KAITLYN EMMA COROSO (MS, RDN, LDN) – Registered Dietitian, NPI 1144048141

KAITLYN EMMA COROSO (MS, RDN, LDN) is a healthcare provider. based in Wexford, Pennsylvania. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MS, RDN, LDN. They hold a License No. DN007875 (PA). The NPI Number for KAITLYN EMMA COROSO (MS, RDN, LDN) is 1144048141

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KAITLYN EMMA COROSO (MS, RDN, LDN)
NPI
1144048141
Phone
Not provided
Address
430 ASCENT DR APT 9104
Enumeration Date
30 September 2024
Last Update Date
30 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086157730
Graduation Year
2022 (4 years ago)
PAC ID
4688154065
Group Practice PAC ID
6204225063
Professional Enrollment ID
I20260216000140
Address ID
PA160464404MA1002XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

375 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in PA

Provider Addresses for KAITLYN EMMA COROSO (MS, RDN, LDN)

  • 430 ASCENT DR APT 9104

    WEXFORD, PA 150906863

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260216000140IRegistered Dietitian Or Nutrition ProfessionalPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15090)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204225063View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physician AssistantPA
Registered Dietitian Or Nutrition ProfessionalPA
Critical Care (Intensivists), Internal MedicinePA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KAITLYN EMMA COROSO (MS, RDN, LDN)?
KAITLYN EMMA COROSO (MS, RDN, LDN) — NPI 1144048141 — is the standard way to identify this listing.
Does the file indicate KAITLYN EMMA COROSO (MS, RDN, LDN) is practicing under active NPI?
Directory data currently reports KAITLYN EMMA COROSO (MS, RDN, LDN) as active.
What is KAITLYN EMMA COROSO (MS, RDN, LDN)'s primary classification?
Registered Dietitian is the headline specialty for KAITLYN EMMA COROSO (MS, RDN, LDN) here. Clinical services aligned with this taxonomy classification.
Where is KAITLYN EMMA COROSO (MS, RDN, LDN) based?
KAITLYN EMMA COROSO (MS, RDN, LDN) is tied to Wexford, Pennsylvania in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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