CORISSA L. STOVALL (NPI# 1073970588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073970588 |
| Entity Type | Individual |
| Full Name | CORISSA L. STOVALL |
| Credential | CRNA |
| Practice Address |
1 Trillium Way Corbin KY 40701-8727 |
| Mailing Address |
425 Lewis Hargett Cir Lexington KY 40503-3590 |
| Practice Telephone | 6065281212 |
| Mailing Telephone | 8592681030 |
| Mailing Fax Number | 8592694120 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 3010075 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 TRILLIUM WAY |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-8727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659377950 | Mitchell Carl | Internal Medicine | 1 Trillium Way, Ste 302, Corbin, KY 40701-8426 | 2005-06-22 |
| 1114538204 | Kimberly Thompson | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-08-12 |
| 1780293027 | Christina Ann North-woods | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-07-22 |
| 1366050395 | Allison Elizabeth Lebron | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-07-15 |
| 1558984443 | Brittany Belcher | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-26 |
| 1891318192 | Bridgette Nichole Smallwood | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-20 |
| 1417583659 | Regina Upchurch | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-19 |
| 1396371795 | Kristin Cox | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-17 |
| 1972137701 | Cassandra Petrey | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-02 |
| 1215561055 | Amanda Alred Elza | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184795585 | Edward M Hoffner | Nurse Anesthetist, Certified Registered | 2 Trillium Way Ste 205, Corbin, KY 40701-8445 | 2006-11-10 |
| 1831207067 | Definitive Medical Solutions, Psc | Nurse Anesthetist, Certified Registered | 801 Master St Ste 5, Corbin, KY 40701-1026 | 2006-08-28 |
| 1467452540 | Iris A Horton | Nurse Anesthetist, Certified Registered | 275 Hwy 770, Corbin, KY 40701-4732 | 2005-07-29 |
| 1467990218 | Samantha Nicole Liford | Nurse Anesthetist, Certified Registered | 1 Trillium Way, Corbin, KY 40701-8727 | 2017-02-01 |
| 1437515988 | Jaime I. Davenport | Nurse Anesthetist, Certified Registered | 1 Trillium Way, Corbin, KY 40701-8727 | 2016-01-13 |
| 1689063802 | Lainie Taylor | Nurse Anesthetist, Certified Registered | 1 Trillium Way, Corbin, KY 40701-8727 | 2015-01-12 |
| 1518205269 | Wendell Christopher Griffin | Nurse Anesthetist, Certified Registered | 1 Trillium Way, Corbin, KY 40701-8727 | 2013-01-30 |
| 1780930743 | Resource Anesthesia Cumberland Valley Inc | Nurse Anesthetist, Certified Registered | 275 Hwy 770, Corbin, KY 40701-4736 | 2012-07-27 |
| 1861798647 | Tracy E Gentry | Nurse Anesthetist, Certified Registered | 1 Trillium Way, Corbin, KY 40701-8727 | 2011-01-27 |
| 1740511237 | Jennifer Blish | Nurse Anesthetist, Certified Registered | 1 Trillium Way, Corbin, KY 40701-8727 | 2010-01-22 |
| Find all providers in CORBIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.