Heather Corbin, CRNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1-135388 Issued in AL

Practice address

705 Goodyear Ave
Gadsden, AL 35903-1156

Phone

(256) 492-0375

NPI assigned

Apr 17, 2019

Last updated

Nov 30, 2020By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

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.

• Hematology & Oncology Associates of Alabama LLC

  • Hematology & Oncology Physician
  • Fultondale, AL
  • NPI 1033443775
  NPD (past)
• Hematology and Oncology Associates of Alabama, LLC

  • Medical Oncology Physician
  • Gadsden, AL
  • NPI 1730292228
  NPD (past)

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1649833500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 NIXON RD",
            "city": "HORTON",
            "state": "AL",
            "postal_code": "359807037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031156",
            "telephone_number": "256-492-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "HEATHER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-135388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Cooley
• Cooper Vision Center, P.C.
• John Mark Cooper, O.D.
• Coosa Care LLC
• David Alexander Corbin, MD
• Heather Nicole Cordell
• Core ENT. LLC
• Thomas R Corley, MD
• Cornerstone Pathology, P.C.
• Ashley Miller Cornutt, C.R.N.A.

• Gerontology Nurse Practitioner in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Gerontology Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.