Active NPI
Jenny Tase Corria
- Family Nurse Practitioner
- Homestead, FL
National Provider Identifier
1083315634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F02230938
- Practice address
- 26300 SW 131St CT
Homestead, FL 33032-8941 - Phone
- (786) 523-6296
- NPI assigned
- Mar 10, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F02230938 | FL | Primary |
Addresses
Primary practice location
26300 SW 131St CT
Homestead, FL 33032-8941
Mailing address
26300 SW 131St CT
Homestead, FL 33032-8941
Phone (786) 523-6296
Other practice location 1
2475 NW 95th Ave Unit 2
Doral, FL 33172-2339
Phone (786) 453-2787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10691 N Kendall Dr
Suite 304
Miami, FL 33176-1551
Phone (305) 960-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F02230938 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bett-ER Support & Service Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Advanced Health Clinic
- Family Medicine Physician
- Miami, FL
- NPI 1356946016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1083315634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26300 SW 131ST CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330328941",
"telephone_number": "786-523-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26300 SW 131ST CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330328941",
"telephone_number": "786-523-6296"
}
],
"practiceLocations": [
{
"address_1": "2475 NW 95th Ave Unit 2",
"address_purpose": "LOCATION",
"city": "Doral",
"state": "FL",
"postal_code": "331722339",
"country_code": "US",
"telephone_number": "786-453-2787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TASE CORRIA",
"first_name": "JENNY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-10",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F02230938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.