Carrie Renee Korenek

Primary specialty

Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X

License

1008733 Issued in TX

Practice address

280 Brazos BND
Somerville, TX 77879-1127

Phone

(361) 404-9810

NPI assigned

Mar 18, 2024

Last updated

Mar 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carrie Renee Korenek Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1972362416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BRAZOS BND",
            "city": "SOMERVILLE",
            "state": "TX",
            "postal_code": "778791127",
            "telephone_number": "361-404-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BRAZOS BND",
            "city": "SOMERVILLE",
            "state": "TX",
            "postal_code": "778791127",
            "telephone_number": "361-404-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORENEK",
        "first_name": "CARRIE",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "TX",
            "license": "1008733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "KORENEK",
            "middle_name": "RENEE",
            "credential": "CARRIE KORENEK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Somerville, TX
• Providers in Somerville, TX by specialty
• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.