Active NPI
Corlene Marie Edlund-Chen, L.AP
- Acupuncturist
- Stuart, FL
National Provider Identifier
1912065509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP1777
- Practice address
- 4408 S.E. Commerce Avenue
Stuart, FL 34997 - Phone
- (772) 286-5277
- Fax
- (772) 286-9478
- NPI assigned
- Dec 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP1777 | FL | Primary |
Addresses
Primary practice location
4408 S.E. Commerce Avenue
Stuart, FL 34997
Mailing address
1431 SE San Souci LN
Port Saint Lucie, FL 34952-5764
Phone (772) 485-9610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1777 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical & Wellness Center, PLLC | Past | Accepting new patients | |
| Atwell Family Chiropractic and Wellness Center PA | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Stuart, FL
- NPI 1700080827
-
- Neurology Physician
- Stuart, FL
- NPI 1679701064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912065509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 SE SAN SOUCI LN",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349525764",
"telephone_number": "772-485-9610",
"fax_number": "772-286-9478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4408 S.E. COMMERCE AVENUE",
"city": "STUART",
"state": "FL",
"postal_code": "34997",
"telephone_number": "772-286-5277",
"fax_number": "772-286-9478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDLUND-CHEN",
"first_name": "CORLENE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "L.AP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP1777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.