Corrine Carter, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

28132417A Issued in IN

Practice address

2222 S 4TH Ave # 885
Yuma, AZ 85364-6452

Phone

(812) 955-0905

NPI assigned

Feb 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional RN Services LLC

  • Nursing Care Agency
  • Bloomington, IN
  • NPI 1649737537
  NPD Authorized official

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1194479550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 885",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662339",
            "telephone_number": "812-955-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S 4TH AVE # 885",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646452",
            "telephone_number": "812-955-0905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "477 W State Road 42",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "IN",
            "postal_code": "461586042",
            "country_code": "US",
            "telephone_number": "812-955-0905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "477 W State Road 42",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "IN",
            "postal_code": "46158",
            "country_code": "US",
            "telephone_number": "812-955-0905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CORRINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28132417A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://thhtc.org",
            "affiliation": "N",
            "endpointDescription": "SECURE MESSAGING",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "2222 S 4th Ave # 885",
            "city": "Yuma",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853646452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carpe Diem Collegiate High School
• Karla Brisa Carranza
• Angela Johanna Carrillo, L.M.T
• Sam A Carroll, D.M.D.
• John Bertram Carson, M.D.
• Henri R Carter, MD
• Jeremy Carter, MD
• Leora Carter, MLP/NP
• Robert Carter, PHARMD
• Giselle Carvalho, M.D.

• Registered Nurse in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.