Organization Active NPI

Cor Wellness Inc.

Doing business as COR Wellness

  • Health Educator
  • Sussex, WI
National Provider Identifier
1942898093
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
COR WELLNESS INC.
Doing business as
COR Wellness
Practice address
W234N7303 Fontaine Cir
Sussex, WI 53089-5714
Phone
(262) 391-2837
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Andrew F Carlson
Title
Coo
Phone
(262) 391-2837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

W234N7303 Fontaine Cir
Sussex, WI 53089-5714

Mailing address

PO Box 286
Sussex, WI 53089-0286
Phone (262) 820-1759

Other names 1

  • COR Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1942898093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530890286",
            "telephone_number": "262-820-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W234N7303 FONTAINE CIR",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530895714",
            "telephone_number": "262-391-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COR WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "262-391-2837"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COR Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sussex, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.