Erica Corrodus

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

524697 Issued in NY

Practice address

15 Fortune Road
West Middletown, NY 10941

Phone

(845) 343-5556

NPI assigned

Dec 6, 2022

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

State licenses

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1912618455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FORTUNE ROAD",
            "city": "WEST MIDDLETOWN",
            "state": "NY",
            "postal_code": "10941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FORTUNE ROAD",
            "city": "WEST MIDDLETOWN",
            "state": "NY",
            "postal_code": "10941",
            "telephone_number": "845-343-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRODUS",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "524697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keshia N Carter, CASAC-T
• Ellen Conway, LMSW
• Megan Joy Copley
• Mitawa Dohoney
• Zhenya Horowitz
• Carrington James
• Jennifer Lackie-Shook, RN
• Christa Lloyd

• Registered Nurse in West Middletown, NY
• Providers in West Middletown, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.