Active NPI
Nicole Lynn Corey, NP
- Nurse Practitioner
- Nashville, TN
National Provider Identifier
1508017393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 13772
- Practice address
- 397 Wallace Rd
Suite 407
Nashville, TN 37211-4854 - Phone
- (615) 942-1040
- Fax
- (615) 942-1060
- NPI assigned
- Oct 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN162359 | TN | |
| Nurse Practitioner | 363L00000X | 13772 | TN | Primary |
Addresses
Primary practice location
397 Wallace Rd
Suite 407
Nashville, TN 37211-4854
Mailing address
397 Wallace Rd
Suite 407
Nashville, TN 37211-4854
Phone (615) 942-1040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1510685 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13772 | TN | MD | Nurse Practitioner |
| RN162359 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Pediatrics PC | Past | Accepting new patients | |
| Pediatric Partners of Nashville, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Nashville, TN
- NPI 1477588523
-
- Pediatrics Physician
- Nashville, TN
- NPI 1639495195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1508017393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "397 WALLACE RD",
"address_2": "SUITE 407",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372114854",
"telephone_number": "615-942-1040",
"fax_number": "615-942-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 WALLACE RD",
"address_2": "SUITE 407",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372114854",
"telephone_number": "615-942-1040",
"fax_number": "615-942-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COREY",
"first_name": "NICOLE",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "RN162359",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "13772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1510685",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.