Individual provider Active NPI

Corinna Michels

  • Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1144635368
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60415762 Issued in WA
Practice address
3801 Kern Way
Yakima, WA 98902-6340
Phone
(509) 574-3220
Fax
(509) 574-3211
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60415762 WA Primary

Addresses

Primary practice location

3801 Kern Way
Yakima, WA 98902-6340

Mailing address

3801 Kern Way
Yakima, WA 98902-6340
Phone (509) 574-3220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmichels4878@yvfwc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140922002378 WA Practitioner - Nurse Practitioner 4082833124 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP60415762WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Farm Workers Clinic CurrentSince Sep 1, 2014 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Sep 1, 2014 Accepting new patients
Yakima Valley Farm Workers Clinic Current Accepting new patients

Locations

3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200

602 E Nob Hill Blvd
Yakima, WA 98901
Phone (509) 248-3334

2205 W Lincoln Ave
Yakima, WA 98902
Phone (509) 469-6305

Interoperability endpoints

  • Direct secure messaging: cmichels4878@yvfwc.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1144635368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KERN WAY",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026340",
            "telephone_number": "509-574-3220",
            "fax_number": "509-574-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KERN WAY",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026340",
            "telephone_number": "509-574-3220",
            "fax_number": "509-574-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELS",
        "first_name": "CORINNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60415762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmichels4878@yvfwc.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "YVFWC Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3801 Kern Way",
            "city": "Yakima",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989026340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.