Active NPI
Kimberly Corcoran, FNP
- Family Nurse Practitioner
- Murrieta, CA
National Provider Identifier
1427520642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95010789
- Practice address
- 24910 Las Brisas Rd Ste 105
Murrieta, CA 92562-4010 - Phone
- (951) 231-1385
- NPI assigned
- Dec 28, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95010789 | CA | Primary |
Addresses
Primary practice location
24910 Las Brisas Rd Ste 105
Murrieta, CA 92562-4010
Mailing address
24910 Las Brisas Rd Ste 105
Murrieta, CA 92562-4010
Phone (951) 231-1385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1427520642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24910 LAS BRISAS RD STE 105",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925624010",
"telephone_number": "951-231-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24910 LAS BRISAS RD STE 105",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925624010",
"telephone_number": "951-231-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORCORAN",
"first_name": "KIMBERLY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-28",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95010789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.