Kathy G Corbin, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R850959 Issued in MS

Practice address

804 N Beech St
Tallulah, LA 71282-3809

Phone

(318) 238-1274

Fax

(337) 239-2225

NPI assigned

Jul 17, 2006

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

Other identifiers 1

Other names 1

• Kathy G Gary Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Baptist Medical Center-Leake, Inc

  • Rural Health Clinic/Center
  • Walnut Grove, MS
  • NPI 1548310782
  NPD (past)
• Housecall Practitioners Inc.

  • Acute Care Nurse Practitioner
  • Vicksburg, MS
  • NPI 1558302992
  NPD (past)
• Lisa Byrd Healthcare Inc

  • Nurse Practitioner
  • Bolton, MS
  • NPI 1164660635
  NPD (past)
• Medical Clinic of Mississippi

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1912165523
  NPD (past)
• Yazoo Family Healthcare,LLC

  • Rural Health Clinic/Center
  • Yazoo City, MS
  • NPI 1770696213
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1023036381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 BREAZEALE SPRINGS ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574278",
            "telephone_number": "318-357-2061",
            "fax_number": "318-521-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N BEECH ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823809",
            "telephone_number": "318-238-1274",
            "fax_number": "337-239-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "KATHY",
        "middle_name": "G",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R850959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121128",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vfontes@outpatientmedical.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "804 N Beech St",
            "city": "Tallulah",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712823809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "GARY",
            "middle_name": "G",
            "credential": "CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cognitive Development Center of Monroe
• Cognitive Development Center, LLC
• Stephanie Collins, APRN
• Debbie Commings
• Brandy Letrice Cooks, FNP-C, PMHNP-BC
• Shakara Cox
• Detter Crews
• Donna Lisa Crockett
• Thelma L Crockett
• Jasmine Crowell

• Family Nurse Practitioner in Tallulah, LA
• Providers in Tallulah, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.