Individual provider Active NPI

Mihaela G Corteza, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lauderdale Lakes, FL
National Provider Identifier
1992369243
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11002006 Issued in FL
Practice address
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503
Phone
(954) 730-2823
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11002006 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 61199394 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11002006 FL Primary

Addresses

Primary practice location

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503

Mailing address

9565 NW 27TH CT
Coral Springs, FL 33065-4939
Phone (561) 665-1665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220520000143 WA Practitioner - Nurse Practitioner 1658768502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11002006FLMDPsychiatric/Mental Health Nurse Practitioner
61199394WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Diocese of Yakima CurrentSince May 13, 2022 Accepting new patients

Locations

145 S Worthen St
Wenatchee, WA 98801
Phone (509) 662-6712

5301 Tieton Dr
Ste C
Yakima, WA 98908
Phone (509) 965-7100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1992369243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9565 NW 27TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654939",
            "telephone_number": "561-665-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W OAKLAND PARK BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131503",
            "telephone_number": "954-730-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZA",
        "first_name": "MIHAELA",
        "middle_name": "G",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "11002006",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "61199394",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11002006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.