Active NPI
Corri Taylor, RN
- Registered Nurse
- Elkhart, IN
National Provider Identifier
1831786987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28192018A
- Practice address
- 513 Modrell Blvd
Elkhart, IN 46514-3426 - Phone
- (317) 432-1336
- NPI assigned
- Dec 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28192018A | IN | Primary |
Addresses
Primary practice location
513 Modrell Blvd
Elkhart, IN 46514-3426
Mailing address
513 Modrell Blvd
Elkhart, IN 46514-3426
Phone (317) 432-1336
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | URL |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28192018A | IN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1831786987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 MODRELL BLVD",
"city": "ELKHART",
"state": "IN",
"postal_code": "465143426",
"telephone_number": "317-432-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 MODRELL BLVD",
"city": "ELKHART",
"state": "IN",
"postal_code": "465143426",
"telephone_number": "317-432-1336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CORRI",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-23",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28192018A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "URL",
"affiliation": "N",
"endpointDescription": "home address",
"address_1": "513 Modrell Blvd",
"city": "Elkhart",
"state": "IN",
"country_code": "US",
"postal_code": "465143426",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.