Individual provider Active NPI

Lorena Patricia Ferreira Corzo, MD

  • Developmental - Behavioral Pediatrics Physician
  • Chattanooga, TN
National Provider Identifier
1376807735
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
62162 Issued in TN
Practice address
1101 Carter St
Chattanooga, TN 37402-5017
Phone
(423) 490-7710
NPI assigned
Jun 30, 2012
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125061100 IL
Developmental - Behavioral Pediatrics Physician 2080P0006X 87882 GA
Developmental - Behavioral Pediatrics Physician 2080P0006X 036-144513 IL
Developmental - Behavioral Pediatrics Physician 2080P0006X 62162 TN Primary

Addresses

Primary practice location

1101 Carter St
Chattanooga, TN 37402-5017

Mailing address

1101 Carter St
Chattanooga, TN 37402-5017
Phone (423) 490-7710

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125061100ILMDPediatrics Physician
87882GAMDDevelopmental - Behavioral Pediatrics Physician
62162TNMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mose and Garrison Siskin Memorial Foundation, Inc. Developmental - Behavioral Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lferreiracorzo83857@direct.rush.rush-health.com
  • Direct secure messaging: lorena.ferreira.corzo.1@4286.direct.athenahealth.com

Organizations & group practices 1

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": "1341014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1376807735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CARTER ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374025017",
            "telephone_number": "423-490-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CARTER ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374025017",
            "telephone_number": "423-490-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA CORZO",
        "first_name": "LORENA",
        "middle_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-30",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125061100",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "GA",
            "license": "87882",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "IL",
            "license": "036-144513",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "TN",
            "license": "62162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.