Individual provider Active NPI

Heather Marie Corr, PA

  • Physician Assistant
  • Burney, CA
National Provider Identifier
1548577489
Registry record updated Jan 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21134 Issued in CA
Practice address
37491 Enterprise Dr
Burney, CA 96013-4386
Phone
(530) 335-5457
Fax
(530) 336-3060
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21134 CA Primary

Addresses

Primary practice location

37491 Enterprise Dr
Burney, CA 96013-4386

Mailing address

37491 Enterprise Dr
Burney, CA 96013-4386
Phone (530) 335-5457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130516000285 CA Practitioner - Physician Assistant 2860639598 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Valleys Health Centers CurrentSince Apr 2, 2013 Accepting new patients
Mountain Valleys Health Centers CurrentSince Apr 2, 2013 Accepting new patients
Mayers Memorial Hospital District Past Accepting new patients

Locations

37491 Enterprise Dr
Burney, CA 96013
Phone (530) 335-5457

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357344000000",
    "number": "1548577489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37491 ENTERPRISE DR",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134386",
            "telephone_number": "530-335-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37491 ENTERPRISE DR",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134386",
            "telephone_number": "530-335-5457",
            "fax_number": "530-336-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORR",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2013-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burney, CA

Sources for this page

Verify at the official NPI Registry.