MARTINA NEKOKSA CORNELL NP NPI 1033266036

NPI Information

NPI: 1033266036
Provider Name: MARTINA NEKOKSA CORNELL, NP
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
19000 HOMESTEAD RD
CUPERTINO, CA
ZIP 95014
Phone: (408) 366-4200
Get Directions

Martina Nekoksa Cornell, NP is an addiction (substance use disorder) registered nurse in Cupertino, CA. Martina Nekoksa Cornell, NP NPI is 1033266036. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19000 HOMESTEAD RD
CUPERTINO, CA
ZIP 95014-712
Phone: (408) 366-4200

The NPI 1033266036 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	398191	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	398191	OTHER	CALIFORNIA	REGISTERED NURSE
2	12130	OTHER	CALIFORNIA	NURSE PRACTITIONER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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