Kim P Corvin, R.N.

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

201140935RN Issued in OR

Practice address

64 Shoreline Dr
Florence, OR 97439-8976

Phone

(541) 991-3151

Fax

(541) 991-3151

NPI assigned

Dec 19, 2012

Last updated

Dec 19, 2012By the provider in NPPES

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": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1336485341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SHORELINE DR",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974398976",
            "telephone_number": "541-991-3151",
            "fax_number": "541-991-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 SHORELINE DR",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974398976",
            "telephone_number": "541-991-3151",
            "fax_number": "541-991-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORVIN",
        "first_name": "KIM",
        "middle_name": "P",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "201140935RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Counseling, LLC
• Coastal Denture Clinic
• Coastal Fitness, Inc. (Coastal Fitness and Aquatics)
• Jason Collins
• Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians (Three Rivers Health Center - Florence)
• Debra D Cox
• Eula Marie Crippen, PHD
• Shannon E Curry
• Mark Daniels, PCNP
• Matthew J Danigelis, MD

• Community Health Registered Nurse in Florence, OR
• Providers in Florence, OR by specialty
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.