Individual provider Active NPI

Corinna Rae Bukovics, CD

  • Doula
  • Coos Bay, OR
National Provider Identifier
1073445110
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
403 Merchant St
Coos Bay, OR 97420-4351
Phone
(541) 979-2248
NPI assigned
Jun 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Primary

Addresses

Primary practice location

403 Merchant St
Coos Bay, OR 97420-4351

Mailing address

403 Merchant St
Coos Bay, OR 97420-4351
Phone (541) 979-2248

Other identifiers 1

IdentifierTypeStateIssuer
116033MedicaidOR

Other names 1

  • Corinna Rae Bukovics Farr Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1073445110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MERCHANT ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204351",
            "telephone_number": "541-979-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MERCHANT ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204351",
            "telephone_number": "541-979-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKOVICS",
        "first_name": "CORINNA",
        "middle_name": "RAE",
        "credential": "CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116033",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNA",
            "last_name": "FARR",
            "middle_name": "RAE BUKOVICS",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.