Individual provider Active NPI

Anne Marie Coryell, D.C

  • Chiropractor
  • East Stroudsburg, PA
National Provider Identifier
1992714687
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003859-L Issued in PA
Practice address
1 Village Ctr
East Stroudsburg, PA 18301-8704
Phone
(570) 223-7211
Fax
(570) 223-7545
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003859-L PA Primary

Addresses

Primary practice location

1 Village Ctr
East Stroudsburg, PA 18301-8704

Mailing address

1 Village Ctr
East Stroudsburg, PA 18301-8704
Phone (570) 223-7211

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

State licenses

LicenseStateTypeSpecialty
DC003859-LPAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992714687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE CTR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018704",
            "telephone_number": "570-223-7211",
            "fax_number": "570-223-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VILLAGE CTR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018704",
            "telephone_number": "570-223-7211",
            "fax_number": "570-223-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORYELL",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003859-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.