Organization Active NPI

Corpus Care

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1801936935
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
577955TX Issued in TX
Legal business name
CORPUS CARE
Practice address
4710 Everhart Rd
Suite 100
Corpus Christi, TX 78411-2750
Phone
(361) 857-2273
Fax
(866) 227-3199
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Mrs. Cindy S. Petty, NP-CNPI 1053479337
Title
Practitioner
Phone
(361) 205-8126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 577955TX TX Primary

Addresses

Primary practice location

4710 Everhart Rd
Suite 100
Corpus Christi, TX 78411-2750

Mailing address

4710 Everhart Rd Ste 100
Corpus Christi, TX 78411-2750
Phone (361) 205-8126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080418000453 TX Part B Supplier - Clinic/Group Practice 0840378634 Receives reassigned benefits from 1 practitioner
Practice locations: Corpus Christi, TX
O20230718003158 TX DME Supplier - Physician - Family Practice 0840378634 Practice locations: Corpus Christi, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1074044Corpus Care4710 Everhart Road Suite 100, Corpus Christi, TX 78411Certificate of waiverSep 20, 2027

National Provider Directory

National Provider Directory

Locations

4710 Everhart Rd
Ste 100
Corpus Christi, TX 78411
Phone (361) 205-8126

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1801936935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 EVERHART RD STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112750",
            "telephone_number": "361-205-8126",
            "fax_number": "361-277-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 EVERHART RD",
            "address_2": "SUITE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112750",
            "telephone_number": "361-857-2273",
            "fax_number": "866-227-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "361-205-8126",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "577955TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.