Individual provider Active NPI

Marcie Smith-Corlette, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1982250064
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP141979 Issued in TX
Practice address
12221 Merit Dr Ste 450
Dallas, TX 75251-2294
Phone
(972) 770-1032
Fax
(469) 484-2126
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP141979 TX Primary

Addresses

Primary practice location

12221 Merit Dr Ste 450
Dallas, TX 75251-2294

Mailing address

12221 Merit Dr Ste 450
Dallas, TX 75251-2294
Phone (972) 770-1032

Other names 1

  • Marcie Smith-Corlette Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL DALLAS

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP141979TXMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: marcie.smithcorlette@hca7.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1982250064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512294",
            "telephone_number": "972-770-1032",
            "fax_number": "469-484-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512294",
            "telephone_number": "972-770-1032",
            "fax_number": "469-484-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-CORLETTE",
        "first_name": "MARCIE",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2020-11-16",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP141979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DALLAS",
            "affiliation": "N",
            "address_1": "7777 Forest Ln",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752302571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARCIE",
            "last_name": "SMITH-CORLETTE",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.