Regina Nicole Crosley-Corcoran, CD(DONA), CCCE

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

330 Lincoln Ave
Downers Grove, IL 60515-3116

Phone

(773) 329-3399

NPI assigned

Oct 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Gina Crosley-Corcoran Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1306198833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LINCOLN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153116",
            "telephone_number": "773-329-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LINCOLN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153116",
            "telephone_number": "773-329-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSLEY-CORCORAN",
        "first_name": "REGINA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CD(DONA), CCCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "CROSLEY-CORCORAN",
            "prefix": "MRS.",
            "credential": "CD(DONA), CCCE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Doula in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Doula in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.