Active NPI
Kimberly Ann Cornish, LPN
- Licensed Practical Nurse
- Delta, OH
National Provider Identifier
1386880607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN. 125493
- Practice address
- 6001 US Highway 20a
Delta, OH 43515-9361 - Phone
- (419) 308-0416
- NPI assigned
- Dec 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN. 125493 | OH | Primary |
Addresses
Primary practice location
6001 US Highway 20a
Delta, OH 43515-9361
Mailing address
6001 US Highway 20a
PO Box 172
Delta, OH 43515-9361
Phone (419) 308-0416
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN. 125493 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtucare Connect LLC | Licensed Practical Nurse | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229472000000",
"number": "1386880607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 US HIGHWAY 20A",
"address_2": "PO BOX 172",
"city": "DELTA",
"state": "OH",
"postal_code": "435159361",
"telephone_number": "419-308-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 US HIGHWAY 20A",
"city": "DELTA",
"state": "OH",
"postal_code": "435159361",
"telephone_number": "419-308-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNISH",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-17",
"last_updated": "2008-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN. 125493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delta, OH
- BSMH Employer Services LLC
- Sherrie Buehrer
- Emily Carson, DDS
- Tamara D Cole, PERSONAL CARE PROVID
- Community Market of Ohio Inc
- Dedicated Nursing & Rehabilitation at Home Inc
- Delta Physical Therapy and Sports Medicine, LLC
- Dental Excellence of Delta, Michael Carpenter, D.D.S., LLC
- Harry John Dermanelian, D.C.
- Michelle Renay Dewey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.