Corridor Ketamine LLC
NPI 1356099154ActiveOrganization· Nurse Anesthetist, Certified Registered· Coralville, IA
Nurse Anesthetist, Certified Registered in Coralville, Iowa, registered in NPPES in March 2022. The authorized official on file is Jennifer Cecil Sassman, Arnp/Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356099154 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2022 |
| Last updated in NPPES | Jun 19, 2025 |
| Certified by provider | Jun 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IA) |
|---|
Other Nurse Anesthetist, Certified Registered providers in Coralville
- 1750770327
- 1649510355
All Nurse Anesthetist, Certified Registered providers in Iowa →