Individual provider Active NPI

Sandra Lynne Corrigan, FNP-BC, CNN

  • Family Nurse Practitioner
  • Thousand Oaks, CA
National Provider Identifier
1386877579
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19226 Issued in CA
Practice address
375 Rolling Oaks Dr Ste 100
Thousand Oaks, CA 91361-1024
Phone
(805) 497-7775
Fax
(805) 557-1074
NPI assigned
Sep 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peritoneal Dialysis Registered Nurse 163WD1100X NP19226 CA
Family Nurse Practitioner 363LF0000X 19226 CA Primary

Addresses

Primary practice location

375 Rolling Oaks Dr Ste 100
Thousand Oaks, CA 91361-1024

Mailing address

PO Box 2160
Moorpark, CA 93020-2160
Phone (818) 718-2301

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP19226CAMDPeritoneal Dialysis Registered Nurse
19226CAMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1386877579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2160",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930202160",
            "telephone_number": "818-718-2301",
            "fax_number": "818-718-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ROLLING OAKS DR STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611024",
            "telephone_number": "805-497-7775",
            "fax_number": "805-557-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRIGAN",
        "first_name": "SANDRA",
        "middle_name": "LYNNE",
        "credential": "FNP-BC, CNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "CA",
            "license": "NP19226",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.