Active NPI
Traci Corbin, RN, DNP
- Community Health Registered Nurse
- Bonifay, FL
National Provider Identifier
1891333274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN9253144
- Practice address
- 603 Scenic Hill Circle
Bonifay, FL 32425 - Phone
- (850) 258-7607
- NPI assigned
- Dec 16, 2019
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN9253144 | FL | Primary |
Addresses
Primary practice location
603 Scenic Hill Circle
Bonifay, FL 32425
Mailing address
PO Box 337
Bonifay, FL 32425-0337
Phone (850) 614-6060
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DLCHD30DirectMessaging@flhealth.gov | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| RN9253144 | FL | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1891333274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 337",
"city": "BONIFAY",
"state": "FL",
"postal_code": "324250337",
"telephone_number": "850-614-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 SCENIC HILL CIRCLE",
"city": "BONIFAY",
"state": "FL",
"postal_code": "32425",
"telephone_number": "850-258-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBIN",
"first_name": "TRACI",
"name_prefix": "Mrs.",
"credential": "RN, DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-16",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "FL",
"license": "RN9253144",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DLCHD30DirectMessaging@flhealth.gov",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "603 Scenic Hill Circle",
"city": "Bonifay",
"state": "FL",
"country_code": "US",
"postal_code": "32425",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bonifay, FL
- Clifford L. Wood O.D. P.a.
- Contini Family Medicine LLC
- Kyle Vincent Contini, M.D.
- Rebekah Elisabeth Contini, M.D.
- William R. Cook
- County of Holmes Office Clerk Board of County Commissioners
- Megan Dezan, PHARMD
- Dogwood Inns Assisted Living Facility Inc
- Candace Victoria Donaldson, APRN
- Dwight Counseling Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.