Individual provider Active NPI

Patrick James Corbett

  • Peer Specialist
  • Oklahoma City, OK
National Provider Identifier
1023509775
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
7612 Sandlewood Dr
Oklahoma City, OK 73132-3947
Phone
(405) 243-2648
NPI assigned
May 29, 2018
Last updated
May 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

7612 Sandlewood Dr
Oklahoma City, OK 73132-3947

Mailing address

7612 Sandlewood Dr
Oklahoma City, OK 73132-3947
Phone (405) 243-2648

Other practice location 1

7612 Sandlewood Dr
Oklahoma City, OK 73132-3947
Phone (405) 243-2648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1023509775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7612 SANDLEWOOD DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323947",
            "telephone_number": "405-243-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7612 SANDLEWOOD DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323947",
            "telephone_number": "405-243-2648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7612 Sandlewood Dr",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731323947",
            "country_code": "US",
            "telephone_number": "405-243-2648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.