Active NPI
Joann Cornejo, APRN
- Nurse Practitioner
- South Miami, FL
National Provider Identifier
1053605485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11004578
- Practice address
- 6141 Sunset Dr Ste 403
South Miami, FL 33143-5026 - Phone
- (305) 665-2300
- Fax
- (305) 669-8966
- NPI assigned
- Jun 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | APRN11004578 | FL | |
| Nurse Practitioner | 363L00000X | APRN11004578 | FL | Primary |
Addresses
Primary practice location
6141 Sunset Dr Ste 403
South Miami, FL 33143-5026
Mailing address
6141 Sunset Dr.
Suite 403
Miami, FL 33143
Phone (305) 665-2300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.endofl.com |
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 |
|---|---|---|---|
| APRN11004578 | FL | MD | Nurse Practitioner |
Interoperability endpoints
- https://api.platform.athenahealth.com/16570/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1053605485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6141 SUNSET DR.",
"address_2": "SUITE 403",
"city": "MIAMI",
"state": "FL",
"postal_code": "33143",
"telephone_number": "305-665-2300",
"fax_number": "305-669-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6141 SUNSET DR STE 403",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435026",
"telephone_number": "305-665-2300",
"fax_number": "305-669-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNEJO",
"first_name": "JOANN",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "APRN11004578",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11004578",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.endofl.com",
"affiliation": "N",
"endpointDescription": "Website",
"address_1": "6141 Sunset Dr Ste 403",
"city": "South Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331435026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.