Active NPI
Roselinda Medina-Cortez, ROT
- Early Intervention Provider Agency
- Corpus Christi, TX
National Provider Identifier
1285877035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 101761
- Practice address
- 1630 S Brownlee Blvd
Corpus Christi, TX 78404-3134 - Phone
- (361) 980-9652
- NPI assigned
- Apr 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 101761 | TX | Primary |
Addresses
Primary practice location
1630 S Brownlee Blvd
Corpus Christi, TX 78404-3134
Mailing address
7685 Dallas St
Corpus Christi, TX 78413-6101
Phone (361) 844-7782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005392801 | Medicaid | TX |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101761 | TX | MD | Early Intervention Provider Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1285877035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7685 DALLAS ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784136101",
"telephone_number": "361-844-7782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 S BROWNLEE BLVD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784043134",
"telephone_number": "361-980-9652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA-CORTEZ",
"first_name": "ROSELINDA",
"name_prefix": "Mrs.",
"credential": "ROT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-09",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "TX",
"license": "101761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005392801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.