Individual provider Active NPI

Corazon N Cardeno, MD

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1104864693
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34085 Issued in TN
Practice address
4220 Harding Rd
Suite 500
Nashville, TN 37205
Phone
(615) 222-6977
Fax
(615) 222-5322
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34085 TN Primary

Addresses

Primary practice location

4220 Harding Rd
Suite 500
Nashville, TN 37205

Mailing address

PO Box 24730
Nashville, TN 37202-4730
Phone (615) 386-2300

Other identifiers 12

IdentifierTypeStateIssuer
3857005OtherMEDICARE
H23857OtherHEALTHSPRING
3857007MedicaidTN
P00365729OtherRAILROAD MEDICARE
P00395837OtherRAILROAD MEDICARE
4137839OtherTNBLUE CROSS
7100007290OtherKYKENTUCKY MEDICAID
3857005MedicaidTN
2102564OtherFIRST HEALTH COVENTRY
4144468OtherTNBLUE CROSS
9682809OtherCIGNA
7117354OtherAETNA

Other names 1

  • Corazon Cardeno Espeleta Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34085TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Hospitalist Associates, PLLC PastSince Feb 25, 2013 Accepting new patients
Trinity Pediatrics, P.C. Past Accepting new patients
Hendersonville Hospitalist Services Inc Internal Medicine Past Accepting new patients
Saint Thomas Medical Partners Internal Medicine Past Accepting new patients
Children and Adults Medical Group, LLC Past Accepting new patients
Medwest Family Practice, Inc. Internal Medicine PastSince Apr 1, 2002 Accepting new patients
Summit Medical Associates PC Internal Medicine Past Accepting new patients
Richland Internal Medicine LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJHFBA/Endpoint/EJHFBA
  • FHIR API: https://api.platform.athenahealth.com/4090/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1104864693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24730",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372024730",
            "telephone_number": "615-386-2300",
            "fax_number": "615-386-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 HARDING RD",
            "address_2": "SUITE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37205",
            "telephone_number": "615-222-6977",
            "fax_number": "615-222-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENO",
        "first_name": "CORAZON",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "34085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3857005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING",
            "identifier": "H23857",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3857007",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00365729",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00395837",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4137839",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY MEDICAID",
            "identifier": "7100007290",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3857005",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH COVENTRY",
            "identifier": "2102564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4144468",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9682809",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7117354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORAZON",
            "last_name": "ESPELETA",
            "middle_name": "CARDENO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.