Traci Ann Corby, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

3165972 Issued in FL

Practice address

12611 World Plaza LN BLDG 53
Fort Myers, FL 33907-3990

Phone

(239) 275-8118

Fax

(239) 275-5914

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Maternal Fetal Medicine of Southwest Florida PA

  • Maternal & Fetal Medicine Physician
  • Ft Myers, FL
  • NPI 1326018706
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285704858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 OAK TREE BLVD",
            "address_2": "STE 200",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312569",
            "telephone_number": "239-275-8118",
            "fax_number": "239-275-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 WORLD PLAZA LN BLDG 53",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073990",
            "telephone_number": "239-275-8118",
            "fax_number": "239-275-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBY",
        "first_name": "TRACI",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "3165972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "ARNP3165972",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coral Medical Center LLC
• Coram Alternate Site Services, Inc.
• Jean Corbae, M.A.
• Michael A Corbellini, DO
• Corbett Family Medical Center PLC
• Jennifer Christine Cordeiro
• Tina Marie Cordell
• Pamela K Corder, LPN
• Valerie N. Cordero Mendez, MD
• Alysha Cordero, RBT

• Women's Health Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.