Corey Robert Bixby, N/A

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

1309 E 141St St
Burnsville, MN 55337-4737

Phone

(651) 347-9444

NPI assigned

Sep 16, 2019

Last updated

Oct 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1467002121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 E 141ST ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374737",
            "telephone_number": "651-347-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 E 141ST ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374737",
            "telephone_number": "651-347-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIXBY",
        "first_name": "COREY",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "N/A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Homemaker in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Homemaker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.