Active NPI
Sylvia Corson, AHCA PROVIDER
- Adult Companion
- Delray Beach, FL
National Provider Identifier
1992901516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 229170
- Practice address
- 5100 Las Verdes Cir
Apt. 114
Delray Beach, FL 33484-8094 - Phone
- (561) 495-9671
- Fax
- (561) 495-9671
- NPI assigned
- Jun 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | 229170 | FL | Primary |
Addresses
Primary practice location
5100 Las Verdes Cir
Apt. 114
Delray Beach, FL 33484-8094
Mailing address
5100 Las Verdes Cir
Apt. 114
Delray Beach, FL 33484-8094
Phone (561) 495-9671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 229170 | Other | FL | AHCA LICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229170 | FL | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992901516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 LAS VERDES CIR",
"address_2": "APT. 114",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334848094",
"telephone_number": "561-495-9671",
"fax_number": "561-495-9671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 LAS VERDES CIR",
"address_2": "APT. 114",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334848094",
"telephone_number": "561-495-9671",
"fax_number": "561-495-9671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSON",
"first_name": "SYLVIA",
"name_prefix": "Ms.",
"credential": "AHCA PROVIDER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "229170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA LICENSE NUMBER",
"identifier": "229170",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
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.