Individual provider Active NPI

Elizabeth Amos Corbett, PMHCNS/NP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1629372974
Registry record updated Feb 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5005032 Issued in NC
Practice address
8801 Fast Park Dr Ste 107
Raleigh, NC 27617-4853
Phone
(919) 851-1527
Fax
(919) 851-3555
NPI assigned
Dec 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5005032 NC Primary

Addresses

Primary practice location

8801 Fast Park Dr Ste 107
Raleigh, NC 27617-4853

Mailing address

108 Cooke St
Raleigh, NC 27601-1122
Phone (919) 755-6930

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Corbett, Psychiatric Nurse Practitioner, PLLC Psychiatric/Mental Health CurrentSince Jun 21, 2012 Accepting new patients

Locations

523 Wait Ave
Wake Forest, NC 27587
Phone (919) 570-0312

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": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549756800000",
    "number": "1629372974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 COOKE ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011122",
            "telephone_number": "919-755-6930",
            "fax_number": "919-851-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 FAST PARK DR STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174853",
            "telephone_number": "919-851-1527",
            "fax_number": "919-851-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "ELIZABETH",
        "middle_name": "AMOS",
        "name_prefix": "Ms.",
        "credential": "PMHCNS/NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2019-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5005032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.