Corey Elizabeth Picken, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01235 Issued in RI

Practice address

1 Commerce St Ste 100
Lincoln, RI 02865-1186

Phone

(401) 793-8484

Fax

(401) 793-8481

NPI assigned

May 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Corey Elizabeth Mair Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1326662909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMMERCE ST STE 100",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651186",
            "telephone_number": "401-793-8484",
            "fax_number": "401-793-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMMERCE ST STE 100",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651186",
            "telephone_number": "401-793-8484",
            "fax_number": "401-793-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKEN",
        "first_name": "COREY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-30",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lincoln",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Commerce St Ste 100",
            "city": "Lincoln",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028651186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "corey.mair.1@10.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1 Commerce St Ste 100",
            "city": "Lincoln",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028651186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COREY",
            "last_name": "MAIR",
            "middle_name": "ELIZABETH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jan J Penkala, MD
• Annanda Perpetuo
• Sara Susan Perrotta, HIS
• Denise M Peterson, M.ED., BCBA
• Grace Harris Peterson
• Ernesto Alfonso Piedra, D.D.S.
• Melissa S Pincince, MS, RD, LDN
• Karla Pineda
• Robin Louise Pino, PT
• Guisela Pinto Caballero, LICSW

• Physician Assistant in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.