Individual provider Active NPI

Cathie Patricia Corlew, LVN

  • Licensed Practical Nurse
  • Marina del Rey, CA
National Provider Identifier
1700028552
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
VN234950 Issued in CA
Practice address
13906 Fiji Way
Apt No 350
Marina del Rey, CA 90292-6959
Phone
(310) 822-2724
NPI assigned
Mar 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X VN234950 CA Primary

Addresses

Primary practice location

13906 Fiji Way
Apt No 350
Marina del Rey, CA 90292-6959

Mailing address

13906 Fiji Way
350
Marina del Rey, CA 90292-6959
Phone (310) 822-2724

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

LicenseStateTypeSpecialty
VN234950CAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1700028552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13906 FIJI WAY",
            "address_2": "350",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926959",
            "telephone_number": "310-822-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13906 FIJI WAY",
            "address_2": "APT NO 350",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926959",
            "telephone_number": "310-822-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEW",
        "first_name": "CATHIE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "VN234950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.