Individual provider Active NPI

Corinna Emmerth

  • Family Nurse Practitioner
  • Glen Dale, WV
National Provider Identifier
1134679277
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN59392-FNP-BC Issued in WV
Practice address
1585 Wheeling Ave
Glen Dale, WV 26038-1731
Phone
(304) 843-5381
NPI assigned
Oct 13, 2016
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.019977 OH
Family Nurse Practitioner 363LF0000X APRN59392-FNP-BC WV Primary

Addresses

Primary practice location

1585 Wheeling Ave
Glen Dale, WV 26038-1731

Mailing address

177 S Marietta St
Saint Clairsville, OH 43950-1166
Phone (740) 310-9039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161214001902 WV Practitioner - Nurse Practitioner 2860772589
I20170209001994 OH Practitioner - Nurse Practitioner 2860772589 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.019977OHMDFamily Nurse Practitioner
APRN59392-FNP-BCWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Jul 1, 2022 Accepting new patients
Urgent Care, Inc - West Virginia PastSince May 26, 2024 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

8151 Norton Pkwy
Mentor, OH 44060
Phone (440) 299-5500

100 Pine Ave
Saint Clairsville, OH 43950
Phone (614) 659-4925

Organizations & group practices 2

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": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1134679277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 S MARIETTA ST",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501166",
            "telephone_number": "740-310-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 WHEELING AVE",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381731",
            "telephone_number": "304-843-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMERTH",
        "first_name": "CORINNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019977",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN59392-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Dale, WV

Sources for this page

Verify at the official NPI Registry.