Corry Tranas Mazerac, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7756 Issued in TN

Practice address

3950 New Covington Pike
Suite 110
Memphis, TN 38128

Phone

(901) 387-2900

Fax

(901) 384-1645

NPI assigned

Jul 11, 2006

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

Other identifiers 1

Other names 1

• Corry L Ray Other name

Medicare fee-for-service enrollment

Enrolled in WY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1891720470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 NEW COVINGTON PIKE STE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282595",
            "telephone_number": "901-387-2900",
            "fax_number": "901-384-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 NEW COVINGTON PIKE",
            "address_2": "SUITE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38128",
            "telephone_number": "901-387-2900",
            "fax_number": "901-384-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZERAC",
        "first_name": "CORRY",
        "middle_name": "TRANAS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518458",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORRY",
            "last_name": "RAY",
            "middle_name": "L",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lavelle Heard Mays, LCSW
• Pauline Michelle Mays
• Stephanie Mays
• William Haywood Mays III, M.D.
• Melissa Mayse, APN
• Manoj Mrinal Mazumder, MD
• Shirin Mazumder, MD
• Ndianabasi Mbride, MD
• James Kevin MC Donald, RPH
• MC Resting Arms Care Home

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.