Active NPI
Natisha Corum
- Student in an Organized Health Care Education/Training Program
- Albany, NY
National Provider Identifier
1831892181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 64741
- Practice address
- Dept of Emed, Mail Code 139
43 New Scotland Ave
Albany, NY 12208 - Phone
- (518) 262-6455
- NPI assigned
- Mar 24, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 64741 | NY | Primary |
Addresses
Primary practice location
Dept of Emed, Mail Code 139
43 New Scotland Ave
Albany, NY 12208
Mailing address
Dept of Emed, Mail Code 139
43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-6455
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
| License | State | Type | Specialty |
|---|---|---|---|
| 64741 | NY | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- ncorum19564@albanymed.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1831892181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT OF EMED, MAIL CODE 139",
"address_2": "43 NEW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "518-262-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPT OF EMED, MAIL CODE 139",
"address_2": "43 NEW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "518-262-6455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORUM",
"first_name": "NATISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-24",
"last_updated": "2023-03-24",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "64741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.