Individual provider Active NPI

Corinne Margaret Powell, MSN,RN,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1699434050
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95019229 Issued in CA
Practice address
7901 Frost St
San Diego, CA 92123-2701
Phone
(619) 788-8484
NPI assigned
Dec 14, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95019229 CA Primary

Addresses

Primary practice location

7901 Frost St
San Diego, CA 92123-2701

Mailing address

5275 Monroe Ave Apt 9
San Diego, CA 92115-4753
Phone (619) 788-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220726003622 TN Practitioner - Nurse Practitioner 8628450459 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spring Creek Mental Health ServicesGroup PAC ID 2769886746, 7 clinicians

Practice addresses (Care Compare)

303 S Main St
Unit C
Goodlettsville, TN 37072-1712
Phone (615) 708-4950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95019229CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Creek Mental Health Services Psychiatric/Mental Health CurrentSince Mar 9, 2023 Accepting new patients
Omni Community Health, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Nashville Brain Institute CurrentSince May 12, 2022 Accepting new patients

Locations

7110 Crossroads Blvd
Ste 400
Brentwood, TN 37027
Phone (615) 208-9499

303 S Main St
#C
Goodlettsville, TN 37072
Phone (615) 474-2050

740 Conference Dr
Goodlettsvlle, TN 37072
Phone (615) 851-7000

5651 Frist Blvd
Ste 717
Hermitage, TN 37076
Phone (615) 316-9511

4709 Papermill Dr
Ste 100
Knoxville, TN 37909

2000 Glen Echo Rd
Ste 101
Nashville, TN 37215
Phone (615) 260-1949

2410 Patterson St
Ste 210
Nashville, TN 37203
Phone (615) 340-4000

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, 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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1699434050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 MONROE AVE APT 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154753",
            "telephone_number": "619-788-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 FROST ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232701",
            "telephone_number": "619-788-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CORINNE",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "MSN,RN,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.