Active NPI
Ivan Corredera PA
Doing business as Comprehensive Care Center
- Family Nurse Practitioner
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- IVAN CORREDERA PA
- Doing business as
- Comprehensive Care Center
- Practice address
- 1825 Forest Hill Blvd Ste 204
West Palm Beach, FL 33406-6062 - Phone
- (561) 264-2970
- NPI assigned
- Apr 26, 2023
- Organization subpart
- Yes
- Parent organization
- COMPREHENSIVE CARE CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivan Corredera, NP
- Title
- President
- Phone
- (561) 502-3847
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1825 Forest Hill Blvd Ste 204
West Palm Beach, FL 33406-6062
Mailing address
1072 Jason Way
West Palm Beach, FL 33406-5253
Phone (561) 502-3847
Other names 1
- COMPREHENSIVE CARE CENTER
National Provider Directory
National Provider Directory- Part of
- Ivan Corredera PA
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Case Management Agency
- Sarasota, FL
- NPI 1225295819
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- West Palm Beach, FL
- NPI 1558754523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745884800000",
"number": "1932897139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1072 JASON WAY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334065253",
"telephone_number": "561-502-3847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 FOREST HILL BLVD STE 204",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334066062",
"telephone_number": "561-264-2970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVAN CORREDERA PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMPREHENSIVE CARE CENTER",
"enumeration_date": "2023-04-26",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A",
"authorized_official_last_name": "CORREDERA",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-502-3847",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "COMPREHENSIVE CARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.