Individual provider Active NPI

Jenny Tase Corria

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1083315634
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02230938 Issued in FL
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

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220003599 FL Practitioner - Nurse Practitioner 2961939426 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
F02230938FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bett-ER Support & Service Inc PastSince Feb 1, 2024 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.

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

Verify at the official NPI Registry.