Coriander Kathryn Heridia, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP.AP.60265319-NP Issued in WA

Practice address

12844 Military Rd S
Tukwila, WA 98168-3045

Phone

(253) 324-5005

NPI assigned

Nov 25, 2005

Last updated

Mar 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Coriander K Hunt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First City Hospitalists Group PLLC

  • Hospitalist Physician
  • St Augustine, FL
  • NPI 1003053695
  NPD (past)

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1598748345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 104TH AVE E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983726011",
            "telephone_number": "253-324-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12844 MILITARY RD S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683045",
            "telephone_number": "253-324-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERIDIA",
        "first_name": "CORIANDER",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9208153",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9208153",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.60265319-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y00KX",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001157200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORIANDER",
            "last_name": "HUNT",
            "middle_name": "K",
            "credential": "ARNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah L Hendrich
• Verdell Melody Hendrickson, CDP
• Catelynn McKell Henion
• Linda Alice Henley, MA, CCC-SLP
• Collin K Hennessey, PHARMD
• Adrianna Hernandez
• Elizabeth Hernandez
• Nathaly Hernandez
• Sebastian Hernandez
• Justin Herndon, LSWAIC

• Family Nurse Practitioner in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.