Active NPI
Christine Anna Corallino, AGPCNP-BC
- Gerontology Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 2017009488
- Practice address
- 14 Foster Street
#3
Boston, MA 02109 - Phone
- (603) 867-1960
- NPI assigned
- Sep 11, 2017
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 2017009488 | MA | Primary |
Addresses
Primary practice location
14 Foster Street
#3
Boston, MA 02109
Mailing address
14 Foster St Apt 3
Boston, MA 02109-5519
Phone (603) 867-1960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017009488 | Other | MA | ANCC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4 Meeting House Rd
Suite 6 8
Chelmsford, MA 01824-2766
Phone (978) 454-9811
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017009488 | MA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Health Specialists, P.C. | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Gastrointestinal Specialists, LLC | Current | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
189 Quincy St
Brockton, MA 02302
Phone (508) 588-6700
4 Meeting House Rd
Ste 68
Chelmsford, MA 01824
Phone (978) 454-9811
4 Meeting House Rd
Ste 6
Chelmsford, MA 01824
Phone (978) 454-9811
Interoperability endpoints
- christine.corallino@gastrohealth.eclinicaldirectplus.com
- https://7dd4c9b2-8c33-42e8-9be4-1fef2411298a.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Chelmsford, MA
- NPI 1205895257
-
- Gastroenterology Physician
- Brockton, MA
- NPI 1386694149
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366961310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 FOSTER ST APT 3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021095519",
"telephone_number": "603-867-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 FOSTER STREET",
"address_2": "#3",
"city": "BOSTON",
"state": "MA",
"postal_code": "02109",
"telephone_number": "603-867-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORALLINO",
"first_name": "CHRISTINE",
"middle_name": "ANNA",
"credential": "AGPCNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "2017009488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC",
"identifier": "2017009488",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.