Individual provider Active NPI

Kori Rae Hoffert, APNP

  • Neonatal Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1235419920
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
16524 Issued in TN
Practice address
941 Spring Creek Rd
Chattanooga, TN 37412-3909
Phone
(423) 664-4460
Fax
(423) 648-5675
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 16524 TN Primary
Neonatal Nurse Practitioner 363LN0000X 4473-33 WI

Addresses

Primary practice location

941 Spring Creek Rd
Chattanooga, TN 37412-3909

Mailing address

902 McCallie Ave
Chattanooga, TN 37403-2724
Phone (423) 664-4460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 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
I20130507000424 TN Practitioner - Nurse Practitioner 6800033093 Reassigns benefits to 1 organization
I20240325003161 TX Practitioner - Nurse Practitioner 6800033093 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16524TNMDPhysical Therapist
4473-33WIMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Physician Services of South Texas CurrentSince Feb 1, 2024 Accepting new patients
Children'S Physician Services of South Texas CurrentSince Feb 1, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Neonatal Past Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

3533 S Alameda St
Ste 203
Corpus Christi, TX 78411

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1235419920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032724",
            "telephone_number": "423-664-4460",
            "fax_number": "423-648-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 SPRING CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123909",
            "telephone_number": "423-664-4460",
            "fax_number": "423-648-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFERT",
        "first_name": "KORI",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TN",
            "license": "16524",
            "primary": true
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "WI",
            "license": "4473-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.