Individual provider Active NPI

Cortney Catherine Corson, ARNP

  • Family Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1053794305
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A120867 Issued in IA
Practice address
2055 Kimball Ave
340
Waterloo, IA 50702
Phone
(319) 272-2774
NPI assigned
Jul 6, 2015
Last updated
Jul 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A120867 IA Primary

Addresses

Primary practice location

2055 Kimball Ave
340
Waterloo, IA 50702

Mailing address

2055 Kimball Ave
340
Waterloo, IA 50702-5014
Phone (319) 272-2774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150812008651 IA Practitioner - Nurse Practitioner 3971818477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center Inc CurrentSince Aug 6, 2015 Accepting new patients
Covenant Medical Center Inc Current Accepting new patients
Covenant Medical Center, Inc. CurrentSince Aug 6, 2015 Accepting new patients

Locations

751 Main St
Arlington, IA 50606
Phone (563) 633-6965

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

2055 Kimball Ave
Ste 340
Waterloo, IA 50702
Phone (319) 272-2774

2710 Saint Francis Dr
Ste 510A
Waterloo, IA 50702

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

Interoperability endpoints

  • Direct secure messaging: ccorson3930791@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1053794305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 KIMBALL AVE",
            "address_2": "340",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025014",
            "telephone_number": "319-272-2774",
            "fax_number": "319-272-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 KIMBALL AVE",
            "address_2": "340",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50702",
            "telephone_number": "319-272-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSON",
        "first_name": "CORTNEY",
        "middle_name": "CATHERINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A120867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.