Active NPI
Martha Lee Corwin, RN
- Registered Nurse
- Dayton, OH
National Provider Identifier
1508050477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN153175
- Practice address
- 3820 Berryleaf CT
Dayton, OH 45424-4903 - Phone
- (937) 236-7914
- NPI assigned
- Sep 4, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN153175 | OH | Primary |
Addresses
Primary practice location
3820 Berryleaf CT
Dayton, OH 45424-4903
Mailing address
3820 Berryleaf CT
Dayton, OH 45424
Phone (937) 236-7914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2081027 | Other | OH | MEDICAID PROVIDER NUMBER |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN153175 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1508050477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 BERRYLEAF CT",
"city": "DAYTON",
"state": "OH",
"postal_code": "45424",
"telephone_number": "937-236-7914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 BERRYLEAF CT",
"city": "DAYTON",
"state": "OH",
"postal_code": "454244903",
"telephone_number": "937-236-7914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORWIN",
"first_name": "MARTHA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-04",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN153175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER NUMBER",
"identifier": "2081027",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.