Corrie Tivis, RN

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

R31795 Issued in ND

Practice address

1929 N 11TH St Apt 5
Bismarck, ND 58501-1916

Phone

(701) 206-0414

NPI assigned

Jun 25, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1316352669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 N 11TH ST APT 5",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011916",
            "telephone_number": "701-206-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 N 11TH ST APT 5",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011916",
            "telephone_number": "701-206-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIVIS",
        "first_name": "CORRIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "ND",
            "license": "R31795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle R Tincher, MD
• Mandi Tipton, LAC
• Janice Kay Tishmack, L.S.W.
• Sherry L Tissaw
• Lucas Titus, MD
• Karen S Tjaden, M.D.
• Krystal Lee Tkach, CNA
• Chandler Tobeck, MA, MPH
• Kristie L Todd-Reisnour, NP
• Brittany Tofsrud

• Nursing Care Agency in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Nursing Care Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.