CAROL ANN CORLEY (NPI# 1821324039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821324039 |
| Entity Type | Individual |
| Full Name | CAROL ANN CORLEY |
| Other Name | CAROL ANN JOHNSON |
| Credential | RN NP |
| Practice Address |
363 Main St Suite C Redwood City CA 94063-1729 |
| Practice Telephone | 6503069490 |
| Practice Fax Number | 6503069355 |
| Mailing Telephone | 6503069490 |
| Mailing Fax Number | 6503069355 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 7387 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
363 MAIN ST SUITE C |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104270 | Hand Rehab Associates, Inc. | Physical Therapist | 363 Main St, Ste A, Redwood City, CA 94063-1729 | 2005-06-14 |
| 1912343328 | Marina Zyskina | Nurse Practitioner | 363 Main St, Suite C, Redwood City, CA 94063-1729 | 2013-05-13 |
| 1184969651 | Danielle Bautista | Nurse Practitioner | 363 Main St, Suite C, Redwood City, CA 94063-1729 | 2012-12-10 |
| 1487954285 | Celia Anne Marie Marquis | Nurse Practitioner | 363 Main St, Suite C, Redwood City, CA 94063-1729 | 2010-10-26 |
| 1114249000 | Meds LLC | Pain Medicine | 363 Main St, Unit C, Redwood City, CA 94063-1729 | 2010-02-19 |
| 1295979227 | David Augustine Lague | Physician Assistant | 363 Main St, Suite C, Redwood City, CA 94063-1729 | 2009-04-21 |
| 1891854568 | Mark Jordan Sontag | Physical Medicine & Rehabilitation | 363 Main St, Suite C, Redwood City, CA 94063-1729 | 2006-12-08 |
| 1023107364 | Elaine Satomi Date | Physical Medicine & Rehabilitation | 363 Main St, Ste C, Redwood City, CA 94063-1729 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1790904738 | Maria G. Arellano | Nurse Practitioner | 2907 El Camino Real, Redwood City, CA 94061-4003 | 2007-04-25 |
| 1427684166 | Astha Shrestha | Nurse Practitioner | 1513 Mitchell Way, Redwood City, CA 94061-2449 | 2020-03-13 |
| 1578005138 | Kelli Nicole Jew | Nurse Practitioner | 450 Broadway St, Pavillion A Fl 1 Mc 6110, Redwood City, CA 94063-3132 | 2016-11-14 |
| 1467878819 | Darcy Lee Pratt | Nurse Practitioner | 450 Broadway St, Mc 5730, Redwood City, CA 94063-3132 | 2014-03-10 |
| 1912343328 | Marina Zyskina | Nurse Practitioner | 363 Main St, Suite C, Redwood City, CA 94063-1729 | 2013-05-13 |
| 1043655483 | Melissa E Hastings | Nurse Practitioner | 450 Broadway St, Pavilion A, Mc 6110, Redwood City, CA 94063-3132 | 2013-04-29 |
| 1184900870 | Veena Jagajeevan | Nurse Practitioner | 450 Broadway St, Mc 6110, Redwood City, CA 94063-3132 | 2011-10-26 |
| 1801170725 | Tessa A Lannoy | Nurse Practitioner | 2900 Whipple Ave, Suite 130, Redwood City, CA 94062-2843 | 2011-10-11 |
| 1326360827 | Janheen Trias Pascual | Nurse Practitioner | 450 Broadway St, Pavilion A, Redwood City, CA 94063-3132 | 2010-02-24 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.