Corridor Ketamine LLC
NPI 1356099154 · Certified Registered Nurse Anesthetist · Coralville, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Corridor Ketamine LLC is a Certified Registered Nurse Anesthetist organization in Coralville, IA (NPI 1356099154).
Provider details
- NPI number
- 1356099154
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Sassman, Arnp/Credentialing(319) 337-8329
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 5107 Utica Ridge RdDavenport, IA 52807-3062Phone: (319) 337-8329
- 1740 Lininger LnNorth Liberty, IA 52317-2322Phone: (319) 337-8329
Registry dates
- Enumerated
- 2022-03-11
- Last updated
- 2025-06-19
- Certified
- 2025-06-19
Frequently asked questions
- What is Corridor Ketamine LLC's NPI number?
- Corridor Ketamine LLC's National Provider Identifier (NPI) is 1356099154, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Corridor Ketamine LLC?
- Corridor Ketamine LLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Corridor Ketamine LLC located?
- Corridor Ketamine LLC's practice location on file with NPPES is 1900 James St Ste 1, Coralville, IA 52241-1895.
- What is Corridor Ketamine LLC's phone number?
- The practice phone number listed in the NPPES registry for Corridor Ketamine LLC is (319) 337-8329.
- Does Corridor Ketamine LLC accept Medicare?
- Corridor Ketamine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Corridor Ketamine LLC?
- The authorized official listed on Corridor Ketamine LLC's NPPES record is Jennifer Sassman, Arnp/Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Corridor Ketamine LLC's NPI active?
- Yes — Corridor Ketamine LLC's NPI (1356099154) is active in the NPPES registry as of the last update on 2025-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.