Individual provider Active NPI

Rui Paulo Correia, APRN-CNP

  • Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1053166231
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1129700 Issued in TX
Practice address
1495 N 7TH St
Beaumont, TX 77702-1345
Phone
(419) 832-8338
Fax
(409) 832-0976
NPI assigned
Apr 22, 2024
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1129700 TX Primary

Addresses

Primary practice location

1495 N 7TH St
Beaumont, TX 77702-1345

Mailing address

845 W Circle Dr
Vidor, TX 77662-9022
Phone (409) 782-5479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723002191 TX Practitioner - Nurse Practitioner 0446796734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triangle Area Network IncGroup PAC ID 3870502339, 5 clinicians

Practice addresses (Care Compare)

3727 N 16TH St
Orange, TX 77632-4690
Phone (409) 920-4223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Area Network Inc CurrentSince Apr 29, 2024 Accepting new patients
Michael K Crossley, M D P a PastSince Apr 29, 2024 Accepting new patients

Locations

1495 N 7th St
Beaumont, TX 77702
Phone (409) 832-3377

3727 N 16th St
Orange, TX 77632
Phone (409) 832-8338

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGFEAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGFEAD/Endpoint/GGFEAD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1053166231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 W CIRCLE DR",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776629022",
            "telephone_number": "409-782-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 N 7TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021345",
            "telephone_number": "419-832-8338",
            "fax_number": "409-832-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREIA",
        "first_name": "RUI",
        "middle_name": "PAULO",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1129700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.