Active NPI
Daniel Correa, APRN
- Family Nurse Practitioner
- Sunrise, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11010690
- Practice address
- 2560 NW 103Rd Ave Apt 202
Sunrise, FL 33322-6843 - Phone
- (786) 457-8691
- NPI assigned
- Dec 16, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11010690 | FL | Primary |
Addresses
Primary practice location
2560 NW 103Rd Ave Apt 202
Sunrise, FL 33322-6843
Mailing address
2560 NW 103Rd Ave Apt 202
Sunrise, FL 33322-6843
Phone (786) 457-8691
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2854 SE Federal Hwy
Stuart, FL 34994-5738
Phone (561) 223-0953
Hospital & facility affiliations
- Cleveland Clinic Martin North Hospital
- Jupiter Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11010690 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jupiter Medical Center Physicians Group | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients |
Locations
136 Jupiter Lakes Blvd
Jupiter, FL 33458
Phone (561) 741-5591
1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695
5430 Military Trl
Ste 62
Jupiter, FL 33458
Phone (561) 263-4343
1000 E Indiantown Rd
Jupiter, FL 33477
Phone (561) 741-5566
2854 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-0953
3401 Pga Blvd
Ste 320
West Palm Bch, FL 33410
Phone (561) 626-3385
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1396992475
-
- Urgent Care Clinic/Center
- Jupiter, FL
- NPI 1730522921
-
- Pediatric Surgery Physician
- Jupiter, FL
- NPI 1093344376
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1437745205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 NW 103RD AVE APT 202",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333226843",
"telephone_number": "786-457-8691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 NW 103RD AVE APT 202",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333226843",
"telephone_number": "786-457-8691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA",
"first_name": "DANIEL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-16",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11010690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.