Michele Marie Corker

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

4704226006 Issued in MI

Practice address

4646 John R
John D. Dingell VA Medical Center
Detroit, MI 48201

Phone

(313) 576-4645

NPI assigned

Dec 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1043455702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22479 HUNTINGTON CT",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481831425",
            "telephone_number": "734-692-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 JOHN R",
            "address_2": "JOHN D. DINGELL VA MEDICAL CENTER",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-576-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKER",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704226006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lalaine Anne Ordiz Cordovez, DO
• Corecaring Group LLC
• Corecaring LLC
• Corelief Rehab LLC
• Arthur A Corker Jr., RPH
• Corktown Pharmacy LLC
• Steve Corl
• Denise Mayra Cornejo
• Cornelius Care Transportation LLC
• Jasmine Cornelius

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.