Kortni Kormos, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

264728 Issued in CA

Practice address

555 Flying V St Ste 5
Chico, CA 95928-7698

Phone

(530) 899-2255

NPI assigned

Sep 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536364800000",
    "number": "1477036259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 STATE HIGHWAY 45",
            "city": "GLENN",
            "state": "CA",
            "postal_code": "959439647",
            "telephone_number": "530-812-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FLYING V ST STE 5",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287698",
            "telephone_number": "530-899-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMOS",
        "first_name": "KORTNI",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-08",
        "last_updated": "2018-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "264728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew William Konitzer Jr.
• Taylor A Konkin, MD
• Amanda Brianna Konyn
• Jeffrey Kopack
• Noelle Kopping
• Lisa Nicole Kowalewski
• Holly Tanya Kralj, NP, CNM, RN
• Ernest Ronald Krantz Jr.
• Heather Kredo, PPSC
• Kremer Dental Care Glenbrook

• Licensed Vocational Nurse in Chico, CA
• Providers in Chico, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.