Individual provider Active NPI

Corinthia Loblack, NP-C

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1275591158
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 2747962 Issued in FL
Practice address
7200 Lake Ellenor Dr Ste 116
Orlando, FL 32809-5786
Phone
(407) 710-0530
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 2747962 FL Primary

Addresses

Primary practice location

7200 Lake Ellenor Dr Ste 116
Orlando, FL 32809-5786

Mailing address

2426 Marley CT
Orlando, FL 32837-9132
Phone (407) 579-9589

Other names 1

  • Corinthia Loblack Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://corinthia-loblack.clientsecure.me/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 2747962FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Health Management, LLC CurrentSince May 2, 2008 Accepting new patients
Optum Care Services Company Adult Health Past Accepting new patients
Nursemd at Home, LLC Past Accepting new patients

Organizations & group practices 3

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1275591158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 MARLEY CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379132",
            "telephone_number": "407-579-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 LAKE ELLENOR DR STE 116",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095786",
            "telephone_number": "407-710-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBLACK",
        "first_name": "CORINTHIA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 2747962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://corinthia-loblack.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "patient portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7200 Lake Ellenor Dr Ste 116",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328095786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CORINTHIA",
            "last_name": "LOBLACK",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.