Kerry Lynn Korba, RN, MSN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

266107 Issued in MA

Practice address

Westborough State Hospital
Lyman St.
Westborough, MA 01581

Phone

(508) 616-2100

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257033600000",
    "number": "1851456388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "UMMHC DEPT OF PEDIATRICS C/O ANN SATTLER",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "615-268-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WESTBOROUGH STATE HOSPITAL",
            "address_2": "LYMAN ST.",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-616-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBA",
        "first_name": "KERRY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "RN, MSN, CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2009-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "266107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Klein, COTA
• Leticia Klos, D.M.D.
• Robert A Klugman, M.D.
• Venu Gopal Konidhala Venkata Ramana
• Ganam Konikara, CPNP-PC
• Eunice Pereira Kowalczyk, DNP, PMHNP
• Lisa M. Kralian, O.D.
• Kate Kramer, M.S., CGC, PH. D.
• Shelley D Kramer, MD
• Joshua Kriegel, MD

• Pediatric Nurse Practitioner in Westborough, MA
• Providers in Westborough, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2009; 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.