Individual provider Active NPI

Corey C Hartunian, RN61457849

  • Maternal Newborn Registered Nurse
  • Snohomish, WA
National Provider Identifier
1578245502
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal Newborn Registered NurseTaxonomy code 163WM0102X
License
RN61457849 Issued in WA
Practice address
1314 Park Ave
Snohomish, WA 98290-1814
Phone
(206) 454-9769
NPI assigned
Aug 1, 2023
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Obstetric Registered Nurse 163WX0003X RN61457849 WA
Maternal Newborn Registered Nurse 163WM0102X RN61457849 WA Primary
Home Health Registered Nurse 163WH0200X RN61457849 WA
Low-Risk Neonatal Registered Nurse 163WN0003X RN61457849 WA
Perinatal Registered Nurse 163WP1700X RN61457849 WA
Ambulatory Women's Health Care Registered Nurse 163WW0101X RN61457849 WA

Addresses

Primary practice location

1314 Park Ave
Snohomish, WA 98290-1814

Mailing address

1314 Park Ave
Snohomish, WA 98290-1814
Phone (206) 454-9769

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

LicenseStateTypeSpecialty
RN61457849WAMDInpatient Obstetric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1578245502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 PARK AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901814",
            "telephone_number": "206-454-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 PARK AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901814",
            "telephone_number": "206-454-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTUNIAN",
        "first_name": "COREY",
        "middle_name": "C",
        "credential": "RN61457849",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "WA",
            "license": "RN61457849",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "WA",
            "license": "RN61457849",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "RN61457849",
            "primary": false
        },
        {
            "code": "163WN0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal, Low-Risk",
            "state": "WA",
            "license": "RN61457849",
            "primary": false
        },
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "WA",
            "license": "RN61457849",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "WA",
            "license": "RN61457849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.