Individual provider Active NPI

Kristina A Corsi, LPN

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1104060821
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 134391 Issued in OH
Practice address
1961 Smoky Meadow Dr
Columbus, OH 43235-4382
Phone
(614) 441-2292
NPI assigned
Apr 24, 2009
Last updated
Apr 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 134391 OH Primary

Addresses

Primary practice location

1961 Smoky Meadow Dr
Columbus, OH 43235-4382

Mailing address

1961 Smoky Meadow Dr
Columbus, OH 43235-4382
Phone (614) 441-2292

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

LicenseStateTypeSpecialty
PN 134391OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1104060821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 SMOKY MEADOW DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354382",
            "telephone_number": "614-441-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 SMOKY MEADOW DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354382",
            "telephone_number": "614-441-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSI",
        "first_name": "KRISTINA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 134391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.