Coralyn J Alexander MD PA

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP662 Issued in ID

Legal business name

CORALYN J ALEXANDER MD PA

Practice address

488 Blue Lakes Blvd N
Ste 102
Twin Falls, ID 83301-4800

Phone

(208) 734-3900

Fax

(208) 734-9441

NPI assigned

Dec 27, 2007

Last updated

Aug 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Coralyn Alexander, MDNPI 1194713487

Title

Owner

Phone

(208) 734-3900

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Coralyn Alexander MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Coralyn Alexander MD PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Twin Falls, ID
  • NPI 1861718561
  NPD tax ID
• Coralyn Alexander MD PA

  • Mental Health Counselor
  • Twin Falls, ID
  • NPI 1962556787
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Coralyn Jill Alexander, MD, PA

  • Psychiatry Physician
  • Spokane, WA
  • NPI 1194713487
  NPD (past) Authorized official

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1013191915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2103",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833032103",
            "telephone_number": "208-734-3900",
            "fax_number": "208-734-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 BLUE LAKES BLVD N",
            "address_2": "STE 102",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014800",
            "telephone_number": "208-734-3900",
            "fax_number": "208-734-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORALYN J ALEXANDER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "CORALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-734-3900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "M6940",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807607000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Robert Coombs, DPT
• Meredith Copetillo
• Jean Coppernoll, PCPRC
• Coralyn Alexander MD PA
• Coralyn Alexander MD PA
• Coralyn J Alexander MD PA
• Neil Patrick Corbett, DO
• Corbin Chiropractic
• Shawna Cordova, PHARMD
• Tracie J. Corle, LPC

• Psychiatric/Mental Health Nurse Practitioner in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.