Cheree L Corderman

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Practice address

1606 S 38TH St
Saint Joseph, MO 64507-2216

Phone

(816) 390-8941

Fax

(816) 279-7728

NPI assigned

May 31, 2019

Last updated

May 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Starcare, LLC

  dba StarCare

  • Community/Behavioral Health Agency
  • Saint Joseph, MO
  • NPI 1851950083
  NPD (past) Authorized official

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1669030086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8162",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645088162",
            "telephone_number": "816-390-8941",
            "fax_number": "816-617-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 S 38TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072216",
            "telephone_number": "816-390-8941",
            "fax_number": "816-279-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERMAN",
        "first_name": "CHEREE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Copple Chiropractic LLC (Activate Your Health)
• Johnathon Copple, DC
• Daniel Lee Corbin, DPT
• Matthew R Corder, CRNA
• Robert L Corder Jr., MD
• Nicole Elizabeth Cordonnier, NP-C
• Megan Cordova, FNP-BC
• Susan Cornelius-Powers, LCSW
• Cornerstone Caregiving East LLC
• Cornerstone Pediatrics, PC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.