Melany Coronado

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

N-399224 Issued in ID

Practice address

325 Snake River Ave
Lewiston, ID 83501-2261

Phone

(208) 798-4595

NPI assigned

Feb 26, 2014

Last updated

Mar 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Melany Ratzlaff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1144645219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SNAKE RIVER AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012261",
            "telephone_number": "208-798-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SNAKE RIVER AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012261",
            "telephone_number": "208-798-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "MELANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N-399224",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60419633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANY",
            "last_name": "RATZLAFF",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• County of Nez Perce Independent School District No 1
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• Connie Louise Crawford, PH.D., ARNP
• Jennifer C Creaser, ARNP
• Tamara Cronk-Wilson, LCSW

• Registered Nurse in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Registered Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.