Michelle Corey, FMP

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

66332 Issued in NM

Practice address

509 Vista Ridge Rd
Taos, NM 87571-6781

Phone

(575) 770-3695

Fax

(866) 686-3415

NPI assigned

Aug 28, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michelle Corey ENT. Inc.

  • Health Service Clinic/Center
  • Taos, NM
  • NPI 1679264634
  NPD Authorized official
• Institute for Autoimmune Recovery

  • Health Service Clinic/Center
  • Jackson, WY
  • NPI 1982554523
  NPD Authorized official

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1104601392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 VISTA RIDGE RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716781",
            "telephone_number": "575-770-4985",
            "fax_number": "866-686-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 VISTA RIDGE RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716781",
            "telephone_number": "575-770-3695",
            "fax_number": "866-686-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "MICHELLE",
        "credential": "FMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NM",
            "license": "66332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory James Cordova
• Crestina Cordova, PHARM.D.
• Florina A. Cordova, MS
• Gina Cordova
• Zachariah Cordova
• Santiago Cortez
• County of Taos
• Rachel Cox, LCSW
• Kelly Cramer, LPCC
• Creative Mind Therapy

• Health & Wellness Coach in Taos, NM
• Providers in Taos, NM by specialty
• Health & Wellness Coach in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.