Active NPI
Jammie Dawn Corona, ACNP-BC
- Acute Care Nurse Practitioner
- Cheyenne, WY
National Provider Identifier
1093020752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 28495.1059
- Practice address
- 2024 Black Jack Loop
Unit a
Cheyenne, WY 82001-7272 - Phone
- (256) 200-1192
- NPI assigned
- Aug 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28495.1059 | WY | |
| Acute Care Nurse Practitioner | 363LA2100X | 28495.1059 | WY | Primary |
Addresses
Primary practice location
2024 Black Jack Loop
Unit a
Cheyenne, WY 82001-7272
Mailing address
33 Rose Loop
Fort Leavenworth, KS 66027-1147
Phone (256) 200-1192
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28495.1059 | WY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1093020752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 ROSE LOOP",
"city": "FORT LEAVENWORTH",
"state": "KS",
"postal_code": "660271147",
"telephone_number": "256-200-1192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 BLACK JACK LOOP",
"address_2": "UNIT A",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820017272",
"telephone_number": "256-200-1192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONA",
"first_name": "JAMMIE",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "ACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WY",
"license": "28495.1059",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WY",
"license": "28495.1059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.