Active NPI
Rene Royal Corbett, RN, MSN, APRN-BC, NP
- Gerontology Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1982614764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 600137
- Practice address
- 1414 Physicians Drive
Wilmington, NC 28401-7335 - Phone
- (910) 796-7900
- Fax
- (910) 796-7901
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 600137 | NC | Primary |
Addresses
Primary practice location
1414 Physicians Drive
Wilmington, NC 28401-7335
Mailing address
1414 Physicians Drive
Wilmington, NC 28401-7335
Phone (910) 796-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7003711 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600137 | NC | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1982614764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 PHYSICIANS DRIVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017335",
"telephone_number": "910-796-7900",
"fax_number": "910-796-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 PHYSICIANS DRIVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017335",
"telephone_number": "910-796-7900",
"fax_number": "910-796-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "RENE",
"middle_name": "ROYAL",
"credential": "RN, MSN, APRN-BC, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "600137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7003711",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.