Active NPI
Andrea Corrales Emerick
- Occupational Therapist
- Jacksonville, NC
National Provider Identifier
1023574126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16161
- Practice address
- 101 N Plain Rd
Jacksonville, NC 28546-6760 - Phone
- (910) 298-2331
- NPI assigned
- Feb 13, 2019
- Last updated
- Aug 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 16161 | NC | Primary |
Addresses
Primary practice location
101 N Plain Rd
Jacksonville, NC 28546-6760
Mailing address
7214 SW Falcon St
Topeka, KS 66610-1533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16161 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1023574126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7214 SW FALCON ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666101533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N PLAIN RD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466760",
"telephone_number": "910-298-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERICK",
"first_name": "ANDREA",
"middle_name": "CORRALES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-13",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "16161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.