Active NPI
Tricia Corrigan, APN
- Family Nurse Practitioner
- Rockford, IL
National Provider Identifier
1316112808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209005411
- Practice address
- 650 W State St
Rockford, IL 61102-2201 - Phone
- (815) 319-6734
- NPI assigned
- Apr 25, 2008
- 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 | 209005411 | IL | Primary |
Addresses
Primary practice location
650 W State St
Rockford, IL 61102-2201
Mailing address
650 W State St
Rockford, IL 61102-2201
Phone (815) 319-6734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209005411 | Other | IL | ILLINOIS APN LICENSE |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209005411 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1316112808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 W STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611022201",
"telephone_number": "815-319-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 W STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611022201",
"telephone_number": "815-319-6734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRIGAN",
"first_name": "TRICIA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209005411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS APN LICENSE",
"identifier": "209005411",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.