Active NPI
Marcie Smith-Corlette, NURSE PRACTITIONER
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1982250064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP141979
- 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
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 |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AP141979 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- 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.