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CORRIDOR KETAMINE LLC
NPI 1356099154
Nurse Anesthetist, Certified Registered in Coralville, IA

Active since March 11, 2022CLIA Certified · 2 labs
1900 JAMES ST STE 1, CORALVILLE, IA 52241(319) 337-8329 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2025, Mar 11, 2022 (2 updates tracked since 2022).

About Corridor Ketamine Llc NPPES

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

CORRIDOR KETAMINE LLC (NPI 1356099154) is a healthcare organization registered as a nurse anesthetist, certified registered in Coralville, Iowa and active in the NPI registry since March 2022. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Jennifer Cecil Sassman, Arnp/credentialing, as its authorized official.

NPPES Registry Identity

NPI1356099154
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameCORRIDOR KETAMINE LLC
Location Address1900 JAMES ST STE 1Coralville, IA 52241-1895
Mailing Address1900 James St Ste 1Coralville, IA 52241-1895 · (319) 337-8329 · Fax (319) 337-8692
Phone(319) 337-8329
Organization SubpartNo
Authorized OfficialJennifer Cecil SassmanArnp/credentialing · (319) 337-8329
Enumeration DateMarch 11, 2022
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1356099154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1900 JAMES ST STE 1, Coralville, IA 52241
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Secondary Practice Locations 2

Location 15107 Utica Ridge RdDavenport, IA 52807-3062 · Phone (319) 337-8329
Location 21740 Lininger LnNorth Liberty, IA 52317-2322 · Phone (319) 337-8329

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2301537

Corridor Ketamine, LLC · Coralville, IA
Active · expires Mar 26, 2028
CLIA Number16D2301537
Laboratory TypePractitioner Other
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorTrent Sassman
Laboratory Phone(319) 337-8329
Laboratory LocationCorridor Ketamine, LLC1900 James St, Coralville, IA 52241
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D2301450

Corridor Ketamine, LLC · North Liberty, IA
Active · expires Mar 25, 2028
CLIA Number16D2301450
Laboratory TypePractitioner Other
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorTrent Sassman
Laboratory Phone(319) 337-8329
Laboratory LocationCorridor Ketamine, LLC1740 Lininger Ln, North Liberty, IA 52317
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. JENNIFER LEE WITTMAN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1900 JAMES ST STE 1
CORALVILLE, IA 52241
Johnson County (319) 337-8329
KATIE LYNN BRAUN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1900 JAMES ST STE 1
CORALVILLE, IA 52241
Johnson County (319) 337-8329
TRENT M SASSMAN CRNA
Nurse Anesthetist, Certified Registered
1900 JAMES ST STE 1
CORALVILLE, IA 52241
Johnson County (319) 337-8329

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 Corridor Ketamine LLC's NPI number?

The NPI number for Corridor Ketamine LLC is 1356099154. It was assigned to this organization in the NPPES registry on March 11, 2022.

Where is Corridor Ketamine LLC located?

Corridor Ketamine LLC is located at 1900 James St Ste 1, Coralville, IA 52241. The listed phone number is (319) 337-8329.

What is Corridor Ketamine LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Does Corridor Ketamine LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Corridor Ketamine LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Corridor Ketamine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Corridor Ketamine LLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.