Kelley Brooke Corl, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RNP248594 Issued in AZ

Practice address

3623 Crossings Dr Ste 206
Prescott, AZ 86305-7101

Phone

(866) 849-0692

Fax

(888) 973-8821

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJJHCA

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.

• Arizona Infusion Centers LLC

  dba Medix Infusion

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1184351298
  Medicare reassignment NPD
• Center for Neurology and Spine PC

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1043275472
  NPD (past)
• Radadvantage a Professional Corporation

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1376719666
  NPD (past)

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1699374371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 CROSSINGS DR STE 206",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057101",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 E Highland Ave Ste 265",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164779",
            "country_code": "US",
            "telephone_number": "833-696-3349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 N 32nd St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850183977",
            "country_code": "US",
            "telephone_number": "833-696-3349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3805 E Bell Rd Ste 5600",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322190",
            "country_code": "US",
            "telephone_number": "833-696-3349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7406 N La Cholla Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857412306",
            "country_code": "US",
            "telephone_number": "833-696-3349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2918 W Ina Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857412429",
            "country_code": "US",
            "telephone_number": "833-696-3349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16435 N Scottsdale Rd Ste 285",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852541680",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 W Ray Rd Ste 21",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852265940",
            "country_code": "US",
            "telephone_number": "833-696-3349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5605 W Eugie Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853041275",
            "country_code": "US",
            "telephone_number": "833-696-3349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 W Eugie Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853041258",
            "country_code": "US",
            "telephone_number": "833-696-3349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3805 E Bell Rd Ste 2400",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322181",
            "country_code": "US",
            "telephone_number": "833-696-3349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORL",
        "first_name": "KELLEY",
        "middle_name": "BROOKE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0103359-C-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RNP248594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Shalon Coplan, PHARMD
• Dana James Copland, RN
• George Mark Coram, RD
• Lucy Helen Corey, LMT NCTM
• Camille Corio, LPC
• Linda Corlett, MS, CCC-SLP
• Kathleen W Cormier, LISAC
• Cornerstone Caregiving West LLC
• Cornerstone Counseling Services of Arizona
• Cornerstone Family Chiropractic Inc

• Nurse Practitioner in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.