Corrina Dillenger, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.127035.MEDS-IV Issued in OH

Practice address

802 Clare Ave
Portsmouth, OH 45662-2583

Phone

(408) 768-4497

Fax

(888) 966-0381

NPI assigned

Apr 15, 2025

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

State licenses

Practice roles

Locations

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.

• Amazing Grace Center Inc

  • Methadone Clinic
  • Portsmouth, OH
  • NPI 1205188588

  Single Specialty

  NPD

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1326834763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 CLARE AVE",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622583",
            "telephone_number": "408-768-4497",
            "fax_number": "888-966-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 CLARE AVE",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622583",
            "telephone_number": "408-768-4497",
            "fax_number": "888-966-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLENGER",
        "first_name": "CORRINA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.127035.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Depugh, O.D.
• Rutmann Desauguste
• Dialysis Clinic Inc.
• Caroline Khoury Dibiagio, DNP, AGAC-NP
• Rita Dietrich
• Emma E Dillow, LSW
• Directly Affected LLC
• Directly Affected LLC
• John Francis Ditraglia, MD
• Andrew James Dittenhofer, D.O

• Licensed Practical Nurse in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.