Individual provider Active NPI

Corey Zeig, RN

  • Registered Nurse
  • Annandale, MN
National Provider Identifier
1265012033
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1310058 Issued in MN
Practice address
246 Elm St W
Annandale, MN 55302-1123
Phone
(320) 274-3062
NPI assigned
Apr 14, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1310058 MN Primary

Addresses

Primary practice location

246 Elm St W
Annandale, MN 55302-1123

Mailing address

20408 June Grass Dr
Big Lake, MN 55309-5201
Phone (612) 801-3261

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1310058MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Drug Stores Inc PastSince Apr 20, 2021 Accepting new patients
Thrifty Drug Stores Inc PastSince Apr 20, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1265012033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20408 JUNE GRASS DR",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553095201",
            "telephone_number": "612-801-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 ELM ST W",
            "city": "ANNANDALE",
            "state": "MN",
            "postal_code": "553021123",
            "telephone_number": "320-274-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIG",
        "first_name": "COREY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1310058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.