Individual provider Active NPI

Cecilia M Corrado, FNP-BC

  • Family Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1285789982
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9192087 Issued in FL
Practice address
11291 County Line Rd
Spring Hill, FL 34609-5616
Phone
(321) 917-2042
Fax
(334) 560-1469
NPI assigned
Jan 24, 2007
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9192087 FL Primary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X ARNP9192087 FL

Addresses

Primary practice location

11291 County Line Rd
Spring Hill, FL 34609-5616

Mailing address

3830 S Highway A1A Ste 4 PMB 139
Melbourne Beach, FL 32951-3159
Phone (321) 917-2042

Other identifiers 2

IdentifierTypeStateIssuer
006776001MedicaidFL
114479100MedicaidFL

Other names 1

  • Cecilia Czerwinske Corrado Former 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
I20080828000264 FL Practitioner - Nurse Practitioner 2668548645 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9192087FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baba Healthcare Past Accepting new patients
Chandra, Gayden, Patel and Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cecilia.corrado.1@18177.direct.athenahealth.com

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, 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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1285789982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 S HIGHWAY A1A STE 4 PMB 139",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329513159",
            "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": "11291 COUNTY LINE RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095616",
            "telephone_number": "321-917-2042",
            "fax_number": "334-560-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRADO",
        "first_name": "CECILIA",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9192087",
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "FL",
            "license": "ARNP9192087",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006776001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114479100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILIA",
            "last_name": "CORRADO",
            "middle_name": "CZERWINSKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.