Active NPI
Celeste M. Correa, M.D.
- Family Medicine Physician
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1064131778
- Practice address
- 636 Del Prado Blvd S Ste A5510
Cape Coral, FL 33990 - Phone
- (239) 343-9237
- Fax
- (239) 343-9218
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME133995 | FL | |
| Family Medicine Physician | 207Q00000X | 1064131778 | AZ | Primary |
Addresses
Primary practice location
636 Del Prado Blvd S Ste A5510
Cape Coral, FL 33990
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-5537
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 451964 | Medicaid | AZ | |
| 023068200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1064131778 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Squaw Peak Family Physicians PC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Alberti-Correa Family Medicine, PC | Past | Accepting new patients | |
| Willard Emergency Physicians | Past | Accepting new patients | |
| Lee Health System Inc | Past | Accepting new patients | |
| Verde Valley Medical Center | Past | Accepting new patients | |
| Oracle Healthcare | Family Medicine | Past | Accepting new patients |
| Centro de Medicina de Familia de Cayey | Family Medicine | Past | Accepting new patients |
Locations
3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444
4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711
6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348
4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632
9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100
18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900
1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999
Organizations & group practices 11
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.
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
dba John C. Lincoln LLC dba Arcadia Family Clinic
- Family Medicine Physician
- Phoenix, AZ
- NPI 1033104716
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
-
dba Dearing Family Medicine
- Family Medicine Physician
- Phoenix, AZ
- NPI 1679876601
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1578590303
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Urgent Care Clinic/Center
- Cottonwood, AZ
- NPI 1114144771
-
- Family Medicine Physician
- Cayey, PR
- NPI 1285794966
-
- Family Medicine Physician
- Camp Verde, AZ
- NPI 1396900122
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
- Emergency Medicine Physician
- Cottonwood, AZ
- NPI 1598714743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1114909926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-5537",
"fax_number": "239-343-9249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 DEL PRADO BLVD S STE A5510",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "33990",
"telephone_number": "239-343-9237",
"fax_number": "239-343-9218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA",
"first_name": "CELESTE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME133995",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "1064131778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "451964",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023068200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.