Anita Corrales, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

80400 Issued in NM

Practice address

2100 Yucca St
Santa Fe, NM 87505-5456

Phone

(505) 467-2463

NPI assigned

Apr 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1790210714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24342",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875029342",
            "telephone_number": "505-467-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 YUCCA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055456",
            "telephone_number": "505-467-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRALES",
        "first_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "80400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Coriz
• Cassandra Coriz
• Ivan J Cornejo, CSW
• Frida Corona
• Johana Coronado Olveda
• James Correa, CCSS
• Priscila Mello Correa, R.PH.
• Deborah Marie Correnti, RN
• Stephen Marshall Corriz, DO
• Marissa D Cortes Mendez, CNM, CNP

• Registered Nurse in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.