Active NPI
Jennifer Alice Corrie, MD
- Obstetrics & Gynecology Physician
- Roswell, NM
National Provider Identifier
1508999780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD2006-0719
- Practice address
- 350 W Country Club Rd
Suite 203
Roswell, NM 88201-5205 - Phone
- (575) 624-4646
- Fax
- (575) 625-8498
- NPI assigned
- Mar 14, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD2006-0719 | NM | Primary |
Addresses
Primary practice location
350 W Country Club Rd
Suite 203
Roswell, NM 88201-5205
Mailing address
350 W Country Club Rd
Suite 203
Roswell, NM 88201-5205
Phone (575) 624-4646
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD2006-0719 | NM | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield County Medical Services Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Roswell Clinic Corp | Obstetrics & Gynecology | Past | Accepting new patients |
| Norwalk Community Health Center Inc | Past | Accepting new patients | |
| Pecos Valley of New Mexico, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCDGCD
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.
-
- General Practice Physician
- Carlsbad, NM
- NPI 1972569820
-
- Health Service Clinic/Center
- Norwalk, CT
- NPI 1841226347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1508999780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W COUNTRY CLUB RD",
"address_2": "SUITE 203",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015205",
"telephone_number": "575-624-4646",
"fax_number": "575-625-8498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W COUNTRY CLUB RD",
"address_2": "SUITE 203",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015205",
"telephone_number": "575-624-4646",
"fax_number": "575-625-8498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRIE",
"first_name": "JENNIFER",
"middle_name": "ALICE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NM",
"license": "MD2006-0719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.