Individual provider Active NPI

Bobbi Lee Corrow, R.N.

  • General Practice Registered Nurse
  • Wappingers Falls, NY
National Provider Identifier
1386849735
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
558920-1 Issued in NY
Practice address
52 Osborne Hill Rd
# 28
Wappingers Falls, NY 12590-5313
Phone
(845) 897-4645
NPI assigned
Jun 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 558920-1 NY Primary

Addresses

Primary practice location

52 Osborne Hill Rd
# 28
Wappingers Falls, NY 12590-5313

Mailing address

52 Osborne Hill Rd
# 28
Wappingers Falls, NY 12590-5313
Phone (845) 897-4645

Other identifiers 1

IdentifierTypeStateIssuer
02754016MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
558920-1NYMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1182038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386849735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 OSBORNE HILL RD",
            "address_2": "# 28",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125905313",
            "telephone_number": "845-897-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 OSBORNE HILL RD",
            "address_2": "# 28",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125905313",
            "telephone_number": "845-897-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORROW",
        "first_name": "BOBBI LEE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "558920-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02754016",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.