Active NPI
Johanna Kay Corrales, CPM, LMT
- Midwife
- Lake Worth, FL
National Provider Identifier
1407159577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW484
- Practice address
- 7277 Oakmont Dr
Lake Worth, FL 33467-1330 - Phone
- (561) 512-0613
- NPI assigned
- Dec 13, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA55216 | FL | |
| Midwife | 176B00000X | MW484 | FL | Primary |
Addresses
Primary practice location
7277 Oakmont Dr
Lake Worth, FL 33467-1330
Mailing address
7277 Oakmont Dr Ste D
Lake Worth, FL 33467-1330
Phone (561) 512-0613
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 |
|---|---|---|---|
| MW484 | FL | MD | Midwife |
| MA55216 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1407159577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7277 OAKMONT DR STE D",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334671330",
"telephone_number": "561-512-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7277 OAKMONT DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334671330",
"telephone_number": "561-512-0613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRALES",
"first_name": "JOHANNA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "CPM, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-13",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA55216",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "MW484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.