Abigail Cordero

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10211191 Issued in NC

Practice address

4551 New Bern Ave Ste 160
Raleigh, NC 27610-1552

Phone

(919) 556-1008

Fax

(919) 556-6099

NPI assigned

Oct 30, 2021

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1972267482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 DOUGLAS FIR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 NEW BERN AVE STE 160",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101552",
            "telephone_number": "919-556-1008",
            "fax_number": "919-556-6099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3209 Douglas Fir Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276164014",
            "country_code": "US",
            "telephone_number": "267-226-0191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-30",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F10211191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Elizabeth Corbett, CRNA
• Lorenza Corbett, LPN
• Daniel Martinez Corbin, NP-C
• Elizabeth Corbin
• Jennifer Nicole Cordell
• Asa Lee Cordle, M.D.
• Melissa Cordova Rosado, FNP-BC
• Adam Wallace Cordum, MD
• Core Counseling & Consulting
• Core Health Counseling

• Family Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.