Active NPI
Corrie Lynn Struble, PHD, ATC, LAT
- Athletic Trainer
- Cary, NC
National Provider Identifier
1295167344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2052
- Practice address
- 111 Skipwyth Cir
Cary, NC 27513-2415 - Phone
- (912) 531-1581
- NPI assigned
- Jul 31, 2013
- Last updated
- Jul 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2052 | NC | Primary |
Addresses
Primary practice location
111 Skipwyth Cir
Cary, NC 27513-2415
Mailing address
111 Skipwyth Cir
Cary, NC 27513-2415
Phone (912) 531-1581
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2052 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1295167344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SKIPWYTH CIR",
"city": "CARY",
"state": "NC",
"postal_code": "275132415",
"telephone_number": "912-531-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SKIPWYTH CIR",
"city": "CARY",
"state": "NC",
"postal_code": "275132415",
"telephone_number": "912-531-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRUBLE",
"first_name": "CORRIE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHD, ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-31",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "2052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
- Lauren Strickland
- Stride Physical Therapy LLC
- Brian C Strider
- Sybilsue Gaia Strivelli, RBT
- Jennifer Danielle Stromberg, M.D.
- Stephen Graham Struble, MD
- Structural Chiropractic of North Carolina (Structurl Chiropractic)
- Kathryn Alexis Struminger, CCC-SLP
- Stuart Higgins DDS PA
- Kristen Stuhlmueller, LMFTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.