Individual provider Active NPI

Cheryl A Corll

  • Licensed Practical Nurse
  • Youngstown, OH
National Provider Identifier
1194639815
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.159313.MEDS-IV Issued in OH
Practice address
474 Bennington Ave
Youngstown, OH 44505-3508
Phone
(330) 740-4005
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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 LPN.159313.MEDS-IV OH Primary

Addresses

Primary practice location

474 Bennington Ave
Youngstown, OH 44505-3508

Mailing address

1666 Lancaster Dr
Youngstown, OH 44511-1037
Phone (330) 740-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1194639815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 LANCASTER DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445111037",
            "telephone_number": "330-740-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 BENNINGTON AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445053508",
            "telephone_number": "330-740-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLL",
        "first_name": "CHERYL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.159313.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.