MRS. NICOLE CASSIE CORWIN NP, RN
NPI 1285186163
Nurse Practitioner in San Mateo, CA

Active since October 26, 2016
77 N SAN MATEO DR, SAN MATEO, CA 94401(650) 342-0854 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2018, Oct 26, 2016 (2 updates tracked since 2016).

About Mrs. Nicole Cassie Corwin Np, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. NICOLE CASSIE CORWIN NP, RN (NPI 1285186163) is an individual nurse practitioner in San Mateo, California, licensed in California (95004876) and active in the NPI registry since October 2016. She maintains a secondary practice location in San Carlos.

NPPES Registry Identity

NPI1285186163
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. NICOLE CASSIE CORWINCredential: NP, RN
Location Address77 N SAN MATEO DRSan Mateo, CA 94401-2889
Mailing Address301 Industrial RdSan Carlos, CA 94070-2603 · (650) 632-0817
Sole ProprietorNo
Enumeration DateOctober 26, 2016
Last NPPES UpdateDecember 6, 20182 updates tracked since enumeration
NPI 1285186163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95004876
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 834973 (CA)
Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License 95004876 (CA)
77 N SAN MATEO DR, San Mateo, CA 94401

Other Names 1

Former Name (1)Ms. Nicole Fivis Rn

Secondary Practice Location 1

Location 1301 Industrial RdSan Carlos, CA 94070-2603 · Phone (650) 632-0817

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
77 N SAN MATEO DR, SUITE 2
SAN MATEO, CA 94401
Specialist
77 N SAN MATEO DR
SAN MATEO, CA 94401
Physician Assistant
77 N SAN MATEO DR
SAN MATEO, CA 94401
Physical Therapist
77 N SAN MATEO DR, SUITE 2
SAN MATEO, CA 94401
Physical Therapist
77 N SAN MATEO DR
SAN MATEO, CA 94401
Specialist
77 N SAN MATEO DR, SUITE 1
SAN MATEO, CA 94401
Physical Therapist
77 N SAN MATEO DR, SUITE 2
SAN MATEO, CA 94401
Physical Therapist
77 N SAN MATEO DR, SUITE 2
SAN MATEO, CA 94401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Corwin's NPI number?

The NPI number for Nicole Corwin is 1285186163. It was assigned to this individual provider in the NPPES registry on October 26, 2016. The provider is also known as Ms. Nicole Fivis Rn.

Where is Nicole Corwin located?

Nicole Corwin practices at 77 N San Mateo Dr, San Mateo, CA 94401. The listed phone number is (650) 342-0854.

What is Nicole Corwin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Nicole Corwin was last updated on December 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.