Corridor Ketamine LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

CORRIDOR KETAMINE LLC

Practice address

1900 James St Ste 1
Coralville, IA 52241-1895

Phone

(319) 337-8329

NPI assigned

Mar 11, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Cecil SassmanNPI 1669916102

Title

Arnp/Credentialing

Phone

(319) 337-8329

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Cecil Sassman, ARNP, DNP, FNP-BC

  • Acute Care Nurse Practitioner
  • Coralville, IA
  • NPI 1669916102

  Family

  Medicare reassignment Care Compare group NPD Authorized official
• Lindsey Kirsten Anderson, DNP, APRN, FNP-BC

  • Nurse Practitioner
  • Davenport, IA
  • NPI 1467313148

  Family

  Medicare reassignment Care Compare group NPD
• Katie Lynn Braun, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coralville, IA
  • NPI 1598303216

  Family

  Medicare reassignment Care Compare group NPD
• Michelle Diane Root, ARNP

  • Family Nurse Practitioner
  • Iowa City, IA
  • NPI 1932393204
  Medicare reassignment Care Compare group NPD
• Trent M Sassman, CRNA

  • Certified Registered Nurse Anesthetist
  • Coralville, IA
  • NPI 1750770327

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Elizabeth Lavon Westermann, DNP

  • Certified Registered Nurse Anesthetist
  • Coralville, IA
  • NPI 1649510355

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Jennifer Lee Wittman, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coralville, IA
  • NPI 1013564996

  Family

  Medicare reassignment Care Compare group NPD
• Hannah Maria Helms, ARNP

  • Family Nurse Practitioner
  • Cedar Rapids, IA
  • NPI 1427843937
  Medicare reassignment Care Compare group
• Laura Steiner Wood, ARNP

  • Family Nurse Practitioner
  • Iowa City, IA
  • NPI 1801407093
  Medicare reassignment NPD
• Dana Elizabeth Hotka, D.C.

  • Chiropractor
  • Iowa City, IA
  • NPI 1841514767
  NPD (past)

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1356099154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 JAMES ST STE 1",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411895",
            "telephone_number": "319-337-8329",
            "fax_number": "319-337-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 JAMES ST STE 1",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411895",
            "telephone_number": "319-337-8329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5107 Utica Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528073062",
            "country_code": "US",
            "telephone_number": "319-337-8329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 Lininger Ln",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523172322",
            "country_code": "US",
            "telephone_number": "319-337-8329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORRIDOR KETAMINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "SASSMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CECIL",
        "authorized_official_title_or_position": "ARNP/CREDENTIALING",
        "authorized_official_telephone_number": "319-337-8329"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coralville Counseling Center LLC
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• Coralville Healthcare Clinic, Inc.
• Cornerstone Caregiving East LLC (Cornerstone Caregiving)
• Corridor Chiropractic of Iowa PLC
• Corridor Radiology, LLC
• Corridor Surgery Center
• Corridor Surgery PLC
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Optical #1111)

• Certified Registered Nurse Anesthetist in Coralville, IA
• Providers in Coralville, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.