Corrado LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

CORRADO LLC

Practice address

1698 B West Hibiscus Blvd
Suite B
Melbourne, FL 32901-2639

Phone

(321) 917-2042

Fax

(334) 560-1469

NPI assigned

Jul 29, 2011

Organization subpart

No

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

Authorized official

Name

Cecilia Marie Corrado, ARNPNPI 1285789982

Title

MGR

Phone

(321) 615-5560

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Osprey Behavioral Health Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cecilia M Corrado, FNP-BC

  • Family Nurse Practitioner
  • Spring Hill, FL
  • NPI 1285789982
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1245518976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 B WEST HIBISCUS BLVD",
            "address_2": "SUITE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012639",
            "telephone_number": "321-917-2042",
            "fax_number": "334-560-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 B WEST HIBISCUS BLVD",
            "address_2": "SUITE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012639",
            "telephone_number": "321-917-2042",
            "fax_number": "334-560-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "CORRADO",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "321-615-5560",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307023900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osprey Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Corcione
• Donald B Cork Jr., DDS
• Rebecca Dawn Corley, LMHC
• Cornerstone Caregiving East LLC
• Cornerstone Therapy Services
• Jesmarie Correa-Lasanta, MD
• Alina Corrigan, BA
• Susana Cortes
• Elizabeth McGovern Corwin
• Cory J Lawler, MD, PA

• Non-Pharmacy Dispensing Site in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.