Kristin Melynn Corkins, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP128120 Issued in TX

Practice address

12465 Timberland Blvd Ste 401
Fort Worth, TX 76244-5215

Phone

(817) 741-8355

Fax

(817) 741-8365

NPI assigned

Jul 20, 2015

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: kristin.corkins@160177656168452.direct.elationemr.com

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1811372873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12465 TIMBERLAND BLVD STE 401",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445215",
            "telephone_number": "817-741-8355",
            "fax_number": "817-741-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12465 TIMBERLAND BLVD STE 401",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445215",
            "telephone_number": "817-741-8355",
            "fax_number": "817-741-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKINS",
        "first_name": "KRISTIN",
        "middle_name": "MELYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Rehab Associates, PLLC
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• Cearra Corey, DNP, APRN, AGCNS-BS
• Travis Corgan, MD
• Corley Care, LLC
• Amanda Ruth Corley
• David Dickson Corley Jr., MD
• Justin Cormack I, M.D.
• Shavon Donasina Cormick, LMSW

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.