Active NPI
Marisa Simoa Correia
- Registered Nurse
- Dorchester, MA
National Provider Identifier
1508456401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN2346115
- Practice address
- 415 Columbia Rd
Dorchester, MA 02125-2424 - Phone
- (617) 287-8000
- NPI assigned
- Jan 25, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2346115 | MA | Primary |
Addresses
Primary practice location
415 Columbia Rd
Dorchester, MA 02125-2424
Mailing address
415 Columbia Rd
Dorchester, MA 02125-2424
Phone (617) 287-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | macorreia@uphams.org |
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 |
|---|---|---|---|
| RN2346115 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1508456401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 COLUMBIA RD",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021252424",
"telephone_number": "617-287-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 COLUMBIA RD",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021252424",
"telephone_number": "617-287-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREIA",
"first_name": "MARISA",
"middle_name": "SIMOA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-25",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2346115",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "macorreia@uphams.org",
"affiliation": "N",
"address_1": "415 Columbia Rd",
"city": "Dorchester",
"state": "MA",
"country_code": "US",
"postal_code": "021252424",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.