Active NPI
Corin Ann Kierson
- Nurse's Aide
- Largo, FL
National Provider Identifier
1689220394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA289805
- Practice address
- 9072 109TH Ter
Largo, FL 33777-1109 - Phone
- (727) 422-8342
- NPI assigned
- Aug 18, 2019
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA289805 | FL | Primary |
Addresses
Primary practice location
9072 109TH Ter
Largo, FL 33777-1109
Mailing address
405 Bough Ave
Clearwater, FL 33760-1505
Phone (727) 222-2156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CNA289805 | Other | FL | CNA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA289805 | FL | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566086400000",
"number": "1689220394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 BOUGH AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337601505",
"telephone_number": "727-222-2156",
"fax_number": "813-844-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9072 109TH TER",
"city": "LARGO",
"state": "FL",
"postal_code": "337771109",
"telephone_number": "727-422-8342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERSON",
"first_name": "CORIN",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-18",
"last_updated": "2019-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "CNA289805",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNA",
"identifier": "CNA289805",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.