Individual provider Active NPI

Corazon B Casallo, R.N.

  • Adult Companion
  • Anchorage, AK
National Provider Identifier
1750642377
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
100966 Issued in AK
Practice address
1756 S Heather Meadows Loop
Anchorage, AK 99507-3864
Phone
(832) 455-5153
NPI assigned
May 30, 2012
Last updated
May 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X 100966 AK Primary

Addresses

Primary practice location

1756 S Heather Meadows Loop
Anchorage, AK 99507-3864

Mailing address

1756 S Heather Meadows Loop
Anchorage, AK 99507-3864
Phone (832) 455-5153

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
100966AKMDAdult Companion

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1750642377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 S HEATHER MEADOWS LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073864",
            "telephone_number": "832-455-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 S HEATHER MEADOWS LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073864",
            "telephone_number": "832-455-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASALLO",
        "first_name": "CORAZON",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "AK",
            "license": "100966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.