Individual provider Active NPI

Annemarie Correa, ARNP

  • Family Nurse Practitioner
  • Belfair, WA
National Provider Identifier
1841464401
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60031042 Issued in WA
Practice address
21 NE Romance Hill Rd Ste 105
Belfair, WA 98528-8315
Phone
(360) 277-2950
Fax
(360) 277-2980
NPI assigned
Apr 15, 2008
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60031042 WA Primary
Registered Nurse 163W00000X AP60031042 WA

Addresses

Primary practice location

21 NE Romance Hill Rd Ste 105
Belfair, WA 98528-8315

Mailing address

21 NE Romance Hill Rd Ste 105
Belfair, WA 98528-8315
Phone (360) 277-2950

Other identifiers 1

IdentifierTypeStateIssuer
1092963MedicaidWA

Other names 1

  • Mrs. Annemarie C Smith Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acorrea828663@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080801000173 WA Practitioner - Nurse Practitioner 2961576483 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60031042WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vera Whole Health Wa PC CurrentSince Nov 1, 2022 Accepting new patients
Vera Whole Health Wa PC Current Accepting new patients
Franciscan Medical Group Current Accepting new patients
Vera Whole Health Wa PC CurrentSince Nov 1, 2022 Accepting new patients
Seahurst Pediatrics PLLC Past Accepting new patients

Locations

100 W Towne Ridge Pkwy
Ste 200
Sandy, UT 84070
Phone (206) 395-6973

4933 Evergreen Way
Everett, WA 98203
Phone (425) 903-3070

13123 121st Way NE
Ste D
Kirkland, WA 98034
Phone (206) 470-1925

6700 Fort Dent Way
Ste 100
Tukwila, WA 98188
Phone (206) 337-6080

Interoperability endpoints

  • Direct secure messaging: acorrea828663@fhsce.catholichealth.net

Organizations & group practices 5

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1841464401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NE ROMANCE HILL RD STE 105",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985288315",
            "telephone_number": "360-277-2950",
            "fax_number": "360-277-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NE ROMANCE HILL RD STE 105",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985288315",
            "telephone_number": "360-277-2950",
            "fax_number": "360-277-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "ANNEMARIE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60031042",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "AP60031042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1092963",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acorrea828663@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21 NE Romance Hill Rd Ste 105",
            "city": "Belfair",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985288315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNEMARIE",
            "last_name": "SMITH",
            "middle_name": "C",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belfair, WA

Sources for this page

Verify at the official NPI Registry.