Individual provider Active NPI

Maureen Egan Corl, NP

  • Adult Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1639411010
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
14066-NP Issued in OH
Practice address
2123 Auburn Avenue
Su. 139
Cincinnati, OH 45219-2609
Phone
(513) 206-1170
Fax
(513) 206-1172
NPI assigned
Mar 22, 2013
Last updated
Sep 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP-14066 OH
Adult Health Nurse Practitioner 363LA2200X 14066-NP OH Primary

Addresses

Primary practice location

2123 Auburn Avenue
Su. 139
Cincinnati, OH 45219-2609

Mailing address

237 William Howard Taft
2ND Floor, Cbo 2-3
Cincinnati, OH 45219-2609
Phone (513) 206-1170

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

LicenseStateTypeSpecialty
NP-14066OHMDNurse Practitioner
14066-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC Nurse Practitioner Past Accepting new patients
Middletown Emergency Physicians, Inc. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1639411010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT",
            "address_2": "2ND FLOOR, CBO 2-3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192609",
            "telephone_number": "513-206-1170",
            "fax_number": "513-206-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVENUE",
            "address_2": "SU. 139",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192609",
            "telephone_number": "513-206-1170",
            "fax_number": "513-206-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORL",
        "first_name": "MAUREEN",
        "middle_name": "EGAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP-14066",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "14066-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.