Cori O Damuth, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024166494 Issued in VA

Practice address

5900 Lake Wright Dr
Norfolk, VA 23502-1871

Phone

(757) 466-8683

Fax

(757) 466-0250

NPI assigned

Jun 24, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cori R Orem Other name

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cori.damuth@voa.ikm.direct-ci.com

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.

• Virginia Oncology Associates

  • Hematology & Oncology Physician
  • Norfolk, VA
  • NPI 1417929639
  NPD
• Virginia Oncology Associates

  • Community/Retail Pharmacy
  • Suffolk, VA
  • NPI 1932906815
  NPD

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1295731180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 CENTER DR STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024107",
            "telephone_number": "757-213-5700",
            "fax_number": "757-213-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 LAKE WRIGHT DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021871",
            "telephone_number": "757-466-8683",
            "fax_number": "757-466-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMUTH",
        "first_name": "CORI",
        "middle_name": "O",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "000166375",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024166494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "94929",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORI",
            "last_name": "OREM",
            "middle_name": "R",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Keara Daly
• Mary Herbert Daly, LCSW
• Sarah Rebecca Damen, NP
• Jordan Nikole Damiano, DO
• Julie Leafe Damman, M.D.
• Christina Marie Dandaneau, CRNA
• Varsha Dandavate, MD
• Danericka Compassionate in Home Services LLC
• Phung Dang, DO
• Jean-Philippe Auguste Daniel

• Nurse Practitioner in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.