Meredith Cornwell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7755 Office Plaza Dr N Ste 105
West Des Moines, IA 50266-2339

Phone

(515) 505-7283

NPI assigned

Sep 29, 2023

Sex

Female

Sole proprietor

No

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.

• KP Enterprises Iowa

  • Multi-Specialty Clinic/Center
  • Ankeny, IA
  • NPI 1518478684
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2023.

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1245010065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 DOLCE CT",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666118",
            "telephone_number": "515-657-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 OFFICE PLAZA DR N STE 105",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662339",
            "telephone_number": "515-505-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Corcoran, MA, LMHC
• Core Physical Therapy Inc
• Emily Cornelius, PA-C
• Cornerstone Caregiving East LLC
• Keaton C Cornish, O.D.
• Melissa A Cosey Jr.
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Alyssa Coughennower, ARNP, PMHNP-BC

• All providers in West Des Moines, IA
• Behavior Technician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.