NPIMap

Individual provider Active NPI

Maryellen Elizabeth Corbeil, CPM, LM, CD(DONA)

  • Midwife
  • Minneapolis, MN
National Provider Identifier
1972897692
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
1031 Issued in MN
Practice address
32 Newton Ave S
Minneapolis, MN 55405-2036
Phone
(612) 381-1270
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 1031 MN Primary
Doula 374J00000X

Addresses

Primary practice location

32 Newton Ave S
Minneapolis, MN 55405-2036

Mailing address

32 Newton Ave S
Minneapolis, MN 55405-2036
Phone (612) 381-1270

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

State licenses

LicenseStateTypeSpecialty
1031MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Trillium Midwifery Care Midwife Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1972897692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 NEWTON AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052036",
            "telephone_number": "612-381-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 NEWTON AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052036",
            "telephone_number": "612-381-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBEIL",
        "first_name": "MARYELLEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "CPM, LM, CD(DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MN",
            "license": "1031",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.