Perla Cornette, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

WA00111898 Issued in WA

Practice address

9059 Gardner Loop WTB Madigan Army Medical Center
Joint Base Lewis McChord, WA 98431-0001

Phone

(253) 967-5603

NPI assigned

Apr 18, 2019

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1275196859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21311 41ST AVE E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983876719",
            "telephone_number": "253-732-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9059 GARDNER LOOP WTB MADIGAN ARMY MEDICAL CENTER",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-967-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETTE",
        "first_name": "PERLA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00111898",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "WA00111898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "R085896",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN00111898",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Maribel Collins, RN
• Kimberly Connell, RDH
• Cathy Crawford, LPN
• Jane Ann Crotteau
• Jennifer Marie Crum-Bailey, D.O
• Matthew Crumley
• Erika M Cyr, MD

• Case Management Registered Nurse in Joint Base Lewis McChord, WA
• Providers in Joint Base Lewis McChord, WA by specialty
• Case Management Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.