Active NPI
Angelina V Korin
- Adult Care Home Facility
- Vancouver, WA
National Provider Identifier
1619689270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Practice address
- 8317 NE 157TH Ave
Vancouver, WA 98682-1702 - Phone
- (360) 955-1567
- NPI assigned
- Dec 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
8317 NE 157TH Ave
Vancouver, WA 98682-1702
Mailing address
9853 SE 134TH Ave
Happy Valley, OR 97086-5959
Phone (360) 955-1567
Other practice location 1
9853 SE 134th Ave
Happy Valley, OR 97086-5959
Phone (360) 955-1567
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | web | Health Information Exchange (HIE) | |
| CONNECT URL | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1619689270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9853 SE 134TH AVE",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970865959",
"telephone_number": "360-955-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8317 NE 157TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986821702",
"telephone_number": "360-955-1567"
}
],
"practiceLocations": [
{
"address_1": "9853 SE 134th Ave",
"address_purpose": "LOCATION",
"city": "Happy Valley",
"state": "OR",
"postal_code": "970865959",
"country_code": "US",
"telephone_number": "360-955-1567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORIN",
"first_name": "ANGELINA",
"middle_name": "V",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-15",
"last_updated": "2022-12-15",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "web",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8317 NE 157th Ave",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986821702",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "email",
"affiliation": "N",
"endpointDescription": "emailed url",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8317 NE 157th Ave",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986821702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.