Jonathan Adam Correia

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

R246603 Issued in MD

Practice address

9658 Baltimore Ave Ste 420
College Park, MD 20740-1358

Phone

(301) 220-1930

Fax

(301) 220-1906

NPI assigned

Sep 25, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Terrapin Care Centers LLC

  • Internal Medicine Physician
  • College Park, MD
  • NPI 1104171404

  DC

  Medicare reassignment NPD
• Excelsia Physicians Group LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1659086361
  NPD (past)

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1225817851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9658 BALTIMORE AVE STE 420",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401358",
            "telephone_number": "301-220-1930",
            "fax_number": "301-220-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9658 BALTIMORE AVE STE 420",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401358",
            "telephone_number": "301-220-1930",
            "fax_number": "301-220-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREIA",
        "first_name": "JONATHAN",
        "middle_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R246603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comptroller of Maryland Central Payroll Bureau (University of Maryland, College Park, Hearing & Speech Clinic)
• Kadiatou Conde
• Denise E. Conner, D.C.
• Jonita Conner, MD
• Samuel Annibale Cook, PA-C
• Courage to Nourish Nutrition, LLC (Courage to Nourish)
• Crafting Balance, LLC
• Creed Medical Group Inc
• Mary A Czan, R.N.
• Jire Dada

• Primary Care Nurse Practitioner in College Park, MD
• Providers in College Park, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.

Verify at the official NPI Registry.