NPIMap

Individual provider Active NPI

Alicia G Correa, ATP

  • Other Technician
  • San Antonio, TX
National Provider Identifier
1114207818
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Practice address
7410 John Smith Ste 108
San Antonio, TX 78229-6069
Phone
(210) 614-3804
Fax
(210) 614-3805
NPI assigned
Aug 25, 2011
Last updated
Aug 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X NU Primary

Addresses

Primary practice location

7410 John Smith Ste 108
San Antonio, TX 78229-6069

Mailing address

7410 John Smith Ste 108
San Antonio, TX 78229-6069
Phone (210) 614-3804

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Pink Boutique Current Accepting new patients
Bexar Care Home Medical Equipment and Supply, LLC Current Accepting new patients

Locations

7410 John Smith Dr
Ste 108
San Antonio, TX 78229
Phone (210) 614-3804

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1114207818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 JOHN SMITH STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296069",
            "telephone_number": "210-614-3804",
            "fax_number": "210-614-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 JOHN SMITH STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296069",
            "telephone_number": "210-614-3804",
            "fax_number": "210-614-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "ALICIA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "ATP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.