NPIMap

Organization Active NPI

Corstrata, Inc.

  • Wound Care Registered Nurse
  • Savannah, GA
National Provider Identifier
1093470445
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
CORSTRATA, INC.
Practice address
112 Sweet Bailey CV
Savannah, GA 31410-1756
Phone
(912) 999-7031
NPI assigned
Nov 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Joseph Ebberwein
Title
Cfo
Phone
(912) 999-7031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X Primary

Addresses

Primary practice location

112 Sweet Bailey CV
Savannah, GA 31410-1756

Mailing address

PO Box 30643
Savannah, GA 31410-0643
Phone (912) 999-7031

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: christina.strizelka@org178.direct.charmhealth.com
  • Direct secure messaging: alicia.jenkins@org178.direct.charmhealth.com
  • Direct secure messaging: corstrata-support@org178.direct.charmhealth.com
  • Direct secure messaging: katherine.piette@org178.direct.charmhealth.com

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1093470445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30643",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314100643",
            "telephone_number": "912-999-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SWEET BAILEY CV",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314101756",
            "telephone_number": "912-999-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORSTRATA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "EBBERWEIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-999-7031"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.