Corey Donovan Hall, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

240865 Issued in TN

Practice address

1525 Pineola Ave
Kingsport, TN 37664-3026

Phone

(423) 863-5742

NPI assigned

Jan 12, 2024

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1093586653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 PINEOLA AVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643026",
            "telephone_number": "423-863-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 PINEOLA AVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643026",
            "telephone_number": "423-863-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "COREY",
        "middle_name": "DONOVAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TN",
            "license": "240865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youngmee Hahn, CCC-SLP
• Tara Lynn Hahner, RA
• Meredith Brooke Hale
• Brandy Nicole Hall
• Coba Lanna Hall, FNP-BC
• Janet Anne Hall, PT
• Shannon Scott Hall, D.C
• Vicki Lee Hall, LPN
• Pamela Faye Hallett, REGISTERED NURSE RNC
• Halliburton Orthodontics,P.C.

• Critical Care Medicine Registered Nurse in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Critical Care Medicine Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.