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KORINN KORVETTE VANDERVALL
NPI 1376046441
Student in an Organized Health Care Education/Training Program in Scranton, PA

Active since March 14, 2018PECOS Enrolled
111 NORTH WASHINGTON AVE, SUITE 1, SCRANTON, PA 18503(570) 343-2383 Get Directions Write a Review

NPPES record last updated: March 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Korinn Korvette Vandervall NPPES

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

KORINN KORVETTE VANDERVALL (NPI 1376046441) is an individual student in an organized health care education/training program in Scranton, Pennsylvania and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376046441
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKORINN KORVETTE VANDERVALL
Location Address111 NORTH WASHINGTON AVE, SUITE 1Scranton, PA 18503-1841
Mailing Address1363 W Braymore CirNaperville, IL 60564-8290 · (630) 806-5662
Phone(570) 343-2383
Sole ProprietorNo
Enumeration DateMarch 14, 2018
✔ NPI 1376046441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 NORTH WASHINGTON AVE, Scranton, PA 18503
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Korinn Korvette Vandervall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

MISS MASUMA KHAWAJA M.D.
Student in an Organized Health Care Education/Training Program
111 NORTH WASHINGTON AVE
SCRANTON, PA 18503
Lackawanna County (570) 591-5153

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 Korinn Vandervall's NPI number?

The NPI number for Korinn Vandervall is 1376046441. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Korinn Vandervall located?

Korinn Vandervall practices at 111 North Washington Ave Suite 1, Scranton, PA 18503. The listed phone number is (570) 343-2383.

What is Korinn Vandervall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Korinn Vandervall enrolled in Medicare?

Yes. Korinn Vandervall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Korinn Vandervall was last updated on March 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.