Mary Joanne Corpus

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Practice address

3432 W 80TH Ave
Anchorage, AK 99502-4421

Phone

(907) 350-0390

NPI assigned

Jun 30, 2021

Last updated

Sep 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary J Jacinto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1063082071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 W 80TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024421",
            "telephone_number": "907-350-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 W 80TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024421",
            "telephone_number": "907-350-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPUS",
        "first_name": "MARY",
        "middle_name": "JOANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2026-09-20",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "JACINTO",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam R. Corneliussen, PA-C
• Sophia June Young Cornell
• Justin Cornett, RPH
• Paul Anthony Cornils, B.S.
• Corporate Chiropractic, Inc. (Alaska Back Care Center)
• Karen Miranda Corpuz
• Michael Corpuz
• Corrina Rinella LLC
• Helen Cortes, PTA
• Loretta C Cortis, CDMS

• Assisted Living Facility (Mental Illness) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility (Mental Illness) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.