Individual provider Active NPI

Stephanie Danielle Corella, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1689221384
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
230896 Issued in AZ
Practice address
3807 N 7TH St
Phoenix, AZ 85014-5005
Phone
(602) 258-6797
NPI assigned
Aug 19, 2019
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 230896 AZ Primary

Addresses

Primary practice location

3807 N 7TH St
Phoenix, AZ 85014-5005

Mailing address

3877 N 7TH St Ste 400
Phoenix, AZ 85014-5061
Phone (602) 258-6797

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Phoenix

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200122002472 AZ Practitioner - Nurse Practitioner 3476988304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valle del Sol IncGroup PAC ID 8628019148, 25 clinicians

Practice addresses (Care Compare)

3807 N 7TH St
Phoenix, AZ 85014-5005
Phone (602) 258-6797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valle del Sol, Inc. CurrentSince Dec 2, 2019 Accepting new patients
Valle del Sol, Inc. CurrentSince Dec 2, 2019 Accepting new patients
Valle del Sol, Inc. Current Accepting new patients
Valle del Sol, Inc. Past Accepting new patients
Valle del Sol, Inc. PastSince Feb 23, 2025 Accepting new patients

Locations

4135 S Power Rd
Ste 108
Mesa, AZ 85212
Phone (480) 641-1511

3807 N 7th St
Phoenix, AZ 85014

3877 N 7th St
Ste 400
Phoenix, AZ 85014
Phone (602) 257-8118

4344 W Indian School Rd
Ste 16
Phoenix, AZ 85031

502 N 27th Ave
Phoenix, AZ 85009

8410 W Thomas Rd
Ste 116
Phoenix, AZ 85037
Phone (623) 748-9331

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1689221384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3877 N 7TH ST STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145061",
            "telephone_number": "602-258-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145005",
            "telephone_number": "602-258-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORELLA",
        "first_name": "STEPHANIE",
        "middle_name": "DANIELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "230896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "address_1": "3807 N 7th St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850145005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.