Active NPI
Leah Corra
- Athletic Trainer
- Spokane, WA
National Provider Identifier
1184119646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000033225
- Practice address
- 15001 N Wandermere Rd Apt F208
Spokane, WA 99208-8749 - Phone
- (425) 736-4983
- NPI assigned
- Jun 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000033225 | WA | Primary |
Addresses
Primary practice location
15001 N Wandermere Rd Apt F208
Spokane, WA 99208-8749
Mailing address
15001 N Wandermere Rd Apt F208
Spokane, WA 99208-8749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000033225 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000033225 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1184119646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15001 N WANDERMERE RD APT F208",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992088749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15001 N WANDERMERE RD APT F208",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992088749",
"telephone_number": "425-736-4983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRA",
"first_name": "LEAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "2000033225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2000033225",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.