Active NPI
Casey Corbett, FNP-BC
- Family Nurse Practitioner
- Medford, OR
National Provider Identifier
1255639977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201150004NP
- Practice address
- 3156 State St
Medford, OR 97504-8450 - Phone
- (541) 773-9772
- Fax
- (541) 773-1113
- NPI assigned
- Mar 3, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201150004NP | OR | Primary |
Addresses
Primary practice location
3156 State St
Medford, OR 97504-8450
Mailing address
595 N Main St
Ste 2
Ashland, OR 97520-1821
Phone (541) 488-1116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201150004NP | OR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1255639977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 N MAIN ST",
"address_2": "STE 2",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201821",
"telephone_number": "541-488-1116",
"fax_number": "541-488-6409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3156 STATE ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048450",
"telephone_number": "541-773-9772",
"fax_number": "541-773-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "CASEY",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-03",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201150004NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.