Korey John Kolrud, B.A.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CG 60205587 Issued in WA

Practice address

221 Avenue B
Snohomish, WA 98290-2840

Phone

(425) 343-2662

Fax

(425) 349-7256

NPI assigned

Mar 9, 2011

Sex

Male

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

Credentials

Bachelor of Arts

State licenses

Practice roles

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

• Compass Health

  • Community/Behavioral Health Agency
  • Everett, WA
  • NPI 1730136201
  NPD (past)

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1598063943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 AVENUE B",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902840",
            "telephone_number": "425-343-2662",
            "fax_number": "425-349-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 AVENUE B",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902840",
            "telephone_number": "425-343-2662",
            "fax_number": "425-349-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLRUD",
        "first_name": "KOREY",
        "middle_name": "JOHN",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-09",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "CG 60205587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madalyn Elizabeth Knapp
• Lindsey Knudson, LICSW
• Maya Itza Koehler, MD
• McKenna R Kohls
• Benjamin Frank Kolesar
• Crystal Anne Kombol, M.ED.
• Aaron Jason Kondracki, LMT
• Mark Bayard Kossian, DC, DACS
• Katy Delaine Koukouras, ND
• Kathryn Kozowski, ND, LAC

• Case Manager/Care Coordinator in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.