Active NPI
Sharen R Corpuz, ARNP
- Adult Health Nurse Practitioner
- Ormond Beach, FL
National Provider Identifier
1144298951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP1641982
- Practice address
- 1200 W Granada Blvd Ste 5
Ormond Beach, FL 32174-8157 - Phone
- (386) 615-8122
- Fax
- (386) 615-8135
- NPI assigned
- Mar 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP1641982 | FL | Primary |
Addresses
Primary practice location
1200 W Granada Blvd Ste 5
Ormond Beach, FL 32174-8157
Mailing address
1200 W Granada Blvd Ste 5
Ormond Beach, FL 32174-8157
Phone (386) 615-8122
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1641982 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metcare of Florida, Inc | Past | Accepting new patients | |
| Metcare of Florida, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Port Orange, FL
- NPI 1619433869
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1902893225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1144298951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W GRANADA BLVD STE 5",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748157",
"telephone_number": "386-615-8122",
"fax_number": "386-615-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W GRANADA BLVD STE 5",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748157",
"telephone_number": "386-615-8122",
"fax_number": "386-615-8135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORPUZ",
"first_name": "SHAREN",
"middle_name": "R",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP1641982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
- Pamela Jones Cope, APRN-C
- John Christopher Coppola, DO
- Coquina Center, LLC
- Cora Health Services Inc
- Cornerstone Medical Management, Inc.
- Sherise Cortese, MS, RDN, LDN
- Anthony R. Costarella, M.D.
- Fredrick William Costello, D.D.S.
- Kathleen Elizabeth Coughlin, LCSW
- Counseling Associates of Ormond Beach
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.