Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corridor Ketamine LLC

Organization Family Nurse Practitioner · NPI 1356099154

Corridor Ketamine LLC is a Family Nurse Practitioner in Coralville, Iowa. Works from 3 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1900 James St Ste 1
Coralville, IA 52241-1895
Phone: (319) 337-8329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5107 Utica Ridge Rd, Davenport, IA 52807-3062 — (319) 337-8329
  • 1740 Lininger Ln, North Liberty, IA 52317-2322 — (319) 337-8329

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1356099154
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Sassman — Arnp/Credentialing · (319) 337-8329
NPI enumeratedMarch 11, 2022
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address1900 James St Ste 1, Coralville, IA 52241-1895

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