Active NPI
Corrinna Walter
- Student in an Organized Health Care Education/Training Program
- North Bend, WA
National Provider Identifier
1730426388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 163WS0200X
- Practice address
- 1345 Stilson Avenue SE
North Bend, WA 98045 - Phone
- (425) 831-8300
- NPI assigned
- Jan 15, 2013
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 163WS0200X | WA | Primary |
Addresses
Primary practice location
1345 Stilson Avenue SE
North Bend, WA 98045
Mailing address
1345 Stilson Avenue SE
North Bend, WA 98045
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
| License | State | Type | Specialty |
|---|---|---|---|
| 163WS0200X | WA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1730426388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 STILSON AVENUE SE",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "98045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 STILSON AVENUE SE",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "98045",
"telephone_number": "425-831-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "CORRINNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-15",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "163WS0200X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Bend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.