Individual provider Active NPI

Lisa Kristine Corsie, A.R.N.P.

  • Family Nurse Practitioner
  • Ephrata, WA
National Provider Identifier
1265674295
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60037038 Issued in WA
Practice address
220 Nat Washington Way
Ephrata, WA 98823-1982
Phone
(509) 754-3330
Fax
(509) 754-2351
NPI assigned
Apr 6, 2009
Last updated
Oct 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60037038 WA Primary

Addresses

Primary practice location

220 Nat Washington Way
Ephrata, WA 98823-1982

Mailing address

220 Nat Washington Way
Ephrata, WA 98823-1982
Phone (509) 754-3330

Other identifiers 2

IdentifierTypeStateIssuer
9660952MedicaidWA
0247664OtherWAL & I

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grant Co Public Hospital District 3 PastSince Jan 1, 2017 Accepting new patients
Grant County Public Hospital District No. 3 PastSince Aug 28, 2001 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1265674295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NAT WASHINGTON WAY",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231982",
            "telephone_number": "509-754-3330",
            "fax_number": "509-754-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NAT WASHINGTON WAY",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231982",
            "telephone_number": "509-754-3330",
            "fax_number": "509-754-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSIE",
        "first_name": "LISA",
        "middle_name": "KRISTINE",
        "name_prefix": "Miss",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60037038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9660952",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0247664",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.