Individual provider Active NPI

Arlene Correa, FNP

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1225680325
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003142 Issued in FL
Practice address
8882 Pebblebrooke Dr
Lakeland, FL 33810-1319
Phone
(863) 937-3036
NPI assigned
Jul 10, 2019
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11003142 FL Primary

Addresses

Primary practice location

8882 Pebblebrooke Dr
Lakeland, FL 33810-1319

Mailing address

8882 Pebblebrooke Dr
Lakeland, FL 33810-1319
Phone (863) 937-3036

Other names 1

  • Mrs. Arlene Correa Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190830002045 FL Practitioner - Nurse Practitioner 7113256009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexander C Mbakwem MD PAGroup PAC ID 1456535590, 2 clinicians

Practice addresses (Care Compare)

1629 Lakeland Hills Blvd
Lakeland, FL 33805-3025
Phone (863) 687-9333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11003142FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander C Mbakwem MD PA CurrentSince Jul 24, 2019 Accepting new patients

Locations

1629 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 644-9500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1225680325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8882 PEBBLEBROOKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338101319",
            "telephone_number": "863-937-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8882 PEBBLEBROOKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338101319",
            "telephone_number": "863-937-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "ARLENE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARLENE",
            "last_name": "CORREA",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.