Corewell Medical Group

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

COREWELL MEDICAL GROUP

Practice address

2417 Lancaster Ave
Wilmington, DE 19805-3736

Phone

(347) 938-4601

NPI assigned

Apr 19, 2024

Organization subpart

No

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

Authorized official

Name

Janice Kpaka, FNP-BC

Title

Family Nurse Practitioner

Phone

(347) 938-4601

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1194570432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 LANCASTER AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 LANCASTER AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053736",
            "telephone_number": "347-938-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREWELL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "KPAKA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "347-938-4601",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana A Corao, MD
• Coras Wellness and Behavioral Health, LLC
• Teresa I Corchado-Leviston, PT
• Christin Corcoran, LPN
• Kathleen A Corcoran, PA-C
• Lindsey Corfield
• Corinthian Enterprises LLC
• Cornerstone Health Partners LLC
• Cornerstone Mental Health
• Carlos V Cornielle

• Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.