Individual provider Active NPI

Corrianne Renee Parada, CNM

  • Advanced Practice Midwife
  • Los Ranchos, NM
National Provider Identifier
1205474285
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
783 Issued in NM
Practice address
7708 4TH St NW
Los Ranchos, NM 87107-6510
Phone
(505) 924-2229
Fax
(505) 554-3673
NPI assigned
Dec 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 783 NM Primary

Addresses

Primary practice location

7708 4TH St NW
Los Ranchos, NM 87107-6510

Mailing address

4819 Summerlin Rd NW
Albuquerque, NM 87114-4525
Phone (512) 296-9851

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address corrianne@darluzbirthcenter.providersdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MP
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402004404 MP Practitioner - Certified Nurse Midwife (CNM) 0941648406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
783NMMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Healthcare Corporation Current Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Feb 5, 2024 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Feb 5, 2024 Accepting new patients
Dar a Luz Birth & Health Center PastSince Dec 22, 2019 Accepting new patients
Dar a Luz Birth & Health Center PastSince Dec 22, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1205474285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 SUMMERLIN RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144525",
            "telephone_number": "512-296-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7708 4TH ST NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076510",
            "telephone_number": "505-924-2229",
            "fax_number": "505-554-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADA",
        "first_name": "CORRIANNE",
        "middle_name": "RENEE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "corrianne@darluzbirthcenter.providersdirect.com",
            "affiliation": "N",
            "address_1": "7708 4th St NW",
            "city": "Los Ranchos",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871076510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Ranchos, NM

Sources for this page

Verify at the official NPI Registry.