Active NPI
Phyllis Correia, CNM
- Advanced Practice Midwife
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 138498
- Practice address
- 1151 Robeson St Ste 201
Fall River, MA 02720-5566 - Phone
- (508) 730-1666
- Fax
- (508) 646-7119
- NPI assigned
- Jan 22, 2007
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 138498 | MA | Primary |
Addresses
Primary practice location
1151 Robeson St Ste 201
Fall River, MA 02720-5566
Mailing address
1151 Robeson St Ste 201
Fall River, MA 02720-5566
Phone (508) 730-1666
Other practice location 1
363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 679-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0708887 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcorreia5675@direct.southcoast.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138498 | MA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Obstetrics Gynecology and Midwifery of Newport | Past | Accepting new patients |
Locations
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
1151 Robeson St
Ste 201
Fall River, MA 02720
Phone (508) 730-1666
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
1030 President Ave
Fall River, MA 02720
Phone (508) 235-6427
1151 Robeson St
Fl 2
Fall River, MA 02720
Phone (508) 646-6767
1565 N Main St
Ste 506
Fall River, MA 02720
Phone (508) 730-1666
Interoperability endpoints
- pcorreia5675@direct.southcoast.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
- Obstetrics & Gynecology Physician
- Fall River, MA
- NPI 1184602765
-
- Emergency Medicine Physician
- Fairhaven, MA
- NPI 1861830143
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
-
- Obstetrics & Gynecology Physician
- Newport, RI
- NPI 1417253568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1164576930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 ROBESON ST STE 201",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205566",
"telephone_number": "508-730-1666",
"fax_number": "508-646-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 ROBESON ST STE 201",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205566",
"telephone_number": "508-730-1666",
"fax_number": "508-646-7119"
}
],
"practiceLocations": [
{
"address_1": "363 Highland Ave",
"address_purpose": "LOCATION",
"city": "Fall River",
"state": "MA",
"postal_code": "027203703",
"country_code": "US",
"telephone_number": "508-679-3131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORREIA",
"first_name": "PHYLLIS",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "138498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0708887",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcorreia5675@direct.southcoast.org",
"affiliation": "N",
"endpointDescription": "Southcoast Health Epic Direct Address",
"address_1": "363 Highland Ave",
"city": "Fall River",
"state": "MA",
"country_code": "US",
"postal_code": "027203703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.