Individual provider Active NPI

Roxanne Corello, RNC FNP WHNP MSN MPH

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1104944131
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
579900 Issued in TX
Practice address
8523 Arkansas St
Houston, TX 77093
Phone
(713) 696-5900
Fax
(713) 694-4169
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 579900 TX Primary

Addresses

Primary practice location

8523 Arkansas St
Houston, TX 77093

Mailing address

PO Box 88361
City of Houston Health & Human Services
Houston, TX 77288-8861
Phone (713) 794-9104

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)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
579900TXMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104944131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88361",
            "address_2": "CITY OF HOUSTON HEALTH & HUMAN SERVICES",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772888861",
            "telephone_number": "713-794-9104",
            "fax_number": "713-798-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8523 ARKANSAS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77093",
            "telephone_number": "713-696-5900",
            "fax_number": "713-694-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORELLO",
        "first_name": "ROXANNE",
        "name_prefix": "Ms.",
        "credential": "RNC FNP WHNP MSN MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "579900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.