NPIMap

Individual provider Active NPI

Corinna Brander, AGACNP-BC

  • Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1881139434
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024174378 Issued in VA
Practice address
6161 Kempsville Cir Ste 315
Norfolk, VA 23502-3935
Phone
(757) 461-5400
Fax
(757) 461-3305
NPI assigned
Jan 5, 2017
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024174378 VA Primary
Gerontology Nurse Practitioner 363LG0600X 0024174378 VA
Acute Care Nurse Practitioner 363LA2100X 0024174378 VA
Adult Health Nurse Practitioner 363LA2200X 0024174378 VA

Addresses

Primary practice location

6161 Kempsville Cir Ste 315
Norfolk, VA 23502-3935

Mailing address

6161 Kempsville Cir Ste 315
Norfolk, VA 23502-3935
Phone (757) 461-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190523002410 VA Practitioner - Nurse Practitioner 6305117649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6161 Kempsville Cir
Suite 315
Norfolk, VA 23502-3932
Phone (757) 461-5400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024174378VAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consulants of Tidewater PLLC CurrentSince Apr 16, 2019 Accepting new patients
Neurology Consultants of Tidewater, PLLC CurrentSince Apr 16, 2019 Accepting new patients
Neurology Consultants of Tidewater, PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6161 Kempsville Cir
Ste 315
Norfolk, VA 23502
Phone (757) 461-5400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1881139434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR STE 315",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023935",
            "telephone_number": "757-461-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR STE 315",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023935",
            "telephone_number": "757-461-5400",
            "fax_number": "757-461-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDER",
        "first_name": "CORINNA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024174378",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024174378",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024174378",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024174378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.