Kitra Corder, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

28178664A Issued in IN

Practice address

1040 E 86TH St Ste 46H
Indianapolis, IN 46240-1857

Phone

(317) 669-2880

NPI assigned

Oct 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Stay at Home Health, LLC

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1316711104
  NPD Authorized official
• Ability Home Health LLC

  • Home Health Agency
  • Zionsville, IN
  • NPI 1295298156
  NPD (past)

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1811538846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 S EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462196933",
            "telephone_number": "765-993-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 E 86TH ST STE 46H",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401857",
            "telephone_number": "317-669-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDER",
        "first_name": "KITRA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IN",
            "license": "28178664A",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "IN",
            "license": "28178664A",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IN",
            "license": "28178664A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "192.168.1.67",
            "affiliation": "N",
            "endpointDescription": "IPv4 address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1040 E 86th St Ste 46H",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462401857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth J Corbolotti
• Sandra K Cord, NP
• Delaney Alexandra Cordell
• Therese M Cordell, NP
• Carole Christine Corder, MS, RD, CDE
• Janet Cordes
• Timothy M Cordes, MD
• Joseph Cordill, PHARMD
• Candelaria Santos Cordova
• Rachel Cordray

• Administrator Registered Nurse in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Administrator Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.