Active NPI
Corrie Lyn Baumer, APRN-CNP
- Nurse Practitioner
- Lexington, KY
National Provider Identifier
1205436342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.0027859
- Practice address
- 800 Rose St
Lexington, KY 40536-7001 - Phone
- (859) 257-9000
- NPI assigned
- Oct 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3015012 | KY | |
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 0027859 | OH | |
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 3015012 | KY | |
| Nurse Practitioner | 363L00000X | APRN.CNP.0027859 | OH | Primary |
Addresses
Primary practice location
800 Rose St
Lexington, KY 40536-7001
Mailing address
3333 Burnet Ave., ML 2004
Cincinnati, OH 45229
Phone (513) 636-4770
Other practice location 1
3333 Burnet Ave., ML 2004
Cincinnati, OH 45229
Phone (513) 636-4770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0027859 | OH | MD | Critical Care Pediatric Nurse Practitioner |
Interoperability endpoints
- cbaumer18890@ukhcdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1205436342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE., ML 2004",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45229",
"telephone_number": "513-636-4770",
"fax_number": "513-636-3847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405367001",
"telephone_number": "859-257-9000"
}
],
"practiceLocations": [
{
"address_1": "3333 Burnet Ave., ML 2004",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "45229",
"country_code": "US",
"telephone_number": "513-636-4770",
"fax_number": "513-636-3847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUMER",
"first_name": "CORRIE",
"middle_name": "LYN",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3015012",
"primary": false
},
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "OH",
"license": "0027859",
"primary": false
},
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "KY",
"license": "3015012",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.0027859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.