Active NPI
Alexandrea Marie Corbin
- Family Nurse Practitioner
- Bardstown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013066
- Practice address
- 201 S 5TH St
Bardstown, KY 40004-1142 - Phone
- (502) 348-6309
- Fax
- (502) 348-2793
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013066 | KY | Primary |
Addresses
Primary practice location
201 S 5TH St
Bardstown, KY 40004-1142
Mailing address
201 S 5TH St
Bardstown, KY 40004-1142
Phone (502) 348-6309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013066 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Anesthesia Services of Kentucky PLLC | Current | Accepting new patients | |
| Brock Medical, LLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Current | Accepting new patients |
Locations
110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- acorbin@hardinmemorial.gwaydirect.com
Organizations & group practices 4
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.
-
- Nurse Practitioner
- London, KY
- NPI 1023379815
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
-
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1669256913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1982168472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S 5TH ST",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041142",
"telephone_number": "502-348-6309",
"fax_number": "502-348-2793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S 5TH ST",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041142",
"telephone_number": "502-348-6309",
"fax_number": "502-348-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBIN",
"first_name": "ALEXANDREA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.