Active NPI
Kimberly Corner, PH.D.
- Counseling Psychologist
- Lincoln, NE
National Provider Identifier
1821273806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 694
- Practice address
- 2300 S 16TH St
Lincoln, NE 68502-3704 - Phone
- (402) 481-4072
- NPI assigned
- Jan 8, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 694 | NE | Primary |
Addresses
Primary practice location
2300 S 16TH St
Lincoln, NE 68502-3704
Mailing address
2300 S 16TH St
Lincoln, NE 68502-3704
Phone (402) 481-4072
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 694 | NE | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1821273806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 S 16TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023704",
"telephone_number": "402-481-4072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 S 16TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023704",
"telephone_number": "402-481-4072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNER",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-08",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NE",
"license": "694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.