Active NPI
Corinne Arrington Watson, MD
- Pediatrics Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME132785
- Practice address
- 1095 NW Saint Lucie West Blvd Ste 106
Port St Lucie, FL 34986-1719 - Phone
- (772) 785-5505
- Fax
- (772) 785-5599
- NPI assigned
- May 8, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2016-01559 | NC | |
| Pediatrics Physician | 208000000X | ME132785 | FL | Primary |
| Pediatrics Physician | 208000000X | 192449 | NC |
Addresses
Primary practice location
1095 NW Saint Lucie West Blvd Ste 106
Port St Lucie, FL 34986-1719
Mailing address
PO Box 417
Stuart, FL 34995-0417
Phone (772) 223-2832
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022400400 | Medicaid | FL | |
| NNAEZ | Other | FL | FLORIDA BLUE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cwatson52794@direct.martinhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Brody School of Medicine at East Carolina University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3496 NW Federal Hwy
Jensen Beach, FL 34957-4441
Phone (772) 223-4916
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME132785 | FL | MD | Pediatrics Physician |
| 192449 | NC | MD | Pediatrics Physician |
| 2016-01559 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Martin Memorial Medical Center Inc | Current | Accepting new patients |
Locations
3496 NW Federal Hwy
Ste A
Jensen Beach, FL 34957
Phone (772) 223-5612
3496 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 223-4916
1095 NW Saint Lucie West Blvd
Ste 106
Port St Lucie, FL 34986
Phone (772) 785-5505
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 221-2003
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Interoperability endpoints
- cwatson2501018@direct.ccf.org
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.
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1184069742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 417",
"city": "STUART",
"state": "FL",
"postal_code": "349950417",
"telephone_number": "772-223-2832",
"fax_number": "772-223-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 NW SAINT LUCIE WEST BLVD STE 106",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861719",
"telephone_number": "772-785-5505",
"fax_number": "772-785-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "CORINNE",
"middle_name": "ARRINGTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2016-01559",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME132785",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "192449",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022400400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "NNAEZ",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cwatson52794@direct.martinhealth.org",
"affiliation": "N",
"address_1": "1095 NW Saint Lucie West Blvd Ste 106",
"city": "Port St Lucie",
"state": "FL",
"country_code": "US",
"postal_code": "349861719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.