Individual provider Active NPI

Ann Marie Corey, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1821359522
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1156A Issued in ID
Practice address
2076 S Eagle Rd
Meridian, ID 83642-6707
Phone
(208) 955-7333
Fax
(208) 955-7330
NPI assigned
May 30, 2012
Last updated
Jan 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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 1156A ID Primary

Addresses

Primary practice location

2076 S Eagle Rd
Meridian, ID 83642-6707

Mailing address

2076 S Eagle Rd
Meridian, ID 83642-6707
Phone (208) 955-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20130620000364 ID Practitioner - Nurse Practitioner 3779722814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Neurobehavioral Health LLCGroup PAC ID 0446432512, 9 clinicians

Practice addresses (Care Compare)

2463 E Gala St
Suite 100
Meridian, ID 83642-5210
Phone (208) 955-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1156AIDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Neurobehavioral Health, LLC CurrentSince Apr 24, 2013 Accepting new patients
Northwest Neurobehavioral Health PLLC Past Accepting new patients

Locations

2076 S Eagle Rd
Meridian, ID 83642
Phone (208) 955-7333

2463 E Gala St
Meridian, ID 83642
Phone (208) 908-1881

2463 E Gala St
Ste 100
Meridian, ID 83642
Phone (208) 955-7333

2965 E Tarpon Dr
Ste 150
Meridian, ID 83642
Phone (208) 509-8987

Organizations & group practices 2

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1821359522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426707",
            "telephone_number": "208-955-7333",
            "fax_number": "208-955-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426707",
            "telephone_number": "208-955-7333",
            "fax_number": "208-955-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "1156A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.