Active NPI
Christine Cormack, FNP
- Family Nurse Practitioner
- Porterville, CA
National Provider Identifier
1477611309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP 8733
- Practice address
- 365 Pearson Dr
Suite5
Porterville, CA 93257-3360 - Phone
- (559) 788-2175
- Fax
- (559) 788-2227
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP 8733 | CA | Primary |
Addresses
Primary practice location
365 Pearson Dr
Suite5
Porterville, CA 93257-3360
Mailing address
365 Pearson Dr
Suite5
Porterville, CA 93257-3360
Phone (559) 788-2175
Other names 1
- Mrs. Christine Cormack-Dauwalder
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 8733 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1477611309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 PEARSON DR",
"address_2": "SUITE5",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932573360",
"telephone_number": "559-788-2175",
"fax_number": "559-788-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 PEARSON DR",
"address_2": "SUITE5",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932573360",
"telephone_number": "559-788-2175",
"fax_number": "559-788-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORMACK",
"first_name": "CHRISTINE",
"name_prefix": "Miss",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP 8733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "CORMACK-DAUWALDER",
"prefix": "MRS.",
"credential": "FNP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Porterville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.