KRISTEN M CORKLE CNP FNP PMHNP NPI 1487801445

NPI Information

NPI: 1487801445
Provider Name: KRISTEN M CORKLE, CNP, FNP, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
521 KANSAS CITY ST
RAPID CITY, SD
ZIP 57701
Phone: (605) 791-2500
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Kristen M Corkle, CNP, FNP, PMHNP is a psychiatric/mental health nurse practitioner in Rapid City, SD. Kristen M Corkle, CNP, FNP, PMHNP NPI is 1487801445. 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:

521 KANSAS CITY ST
RAPID CITY, SD
ZIP 57701-673
Phone: (605) 791-2500
Fax: (605) 791-2502

The NPI 1487801445 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 8/21/2008 and was last updated on 9/18/2023.

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	363L00000X	Nurse Practitioner		CP000538	SOUTH DAKOTA	No
2	363LF0000X	Nurse Practitioner	Family	CP000538	SOUTH DAKOTA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	CP000538	SOUTH DAKOTA	Yes
4	163W00000X	Registered Nurse		R028596	SOUTH DAKOTA	No

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	200686140A	MEDICAID	KANSAS
2	1487801445	MEDICAID	SOUTH DAKOTA

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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