Active NPI
Coralyn Marie Furr, FNP
- Nurse Practitioner
- St Maries, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 78102
- Practice address
- 229 S 7TH St Ste 101
St Maries, ID 83861-1803 - Phone
- (208) 245-7079
- Fax
- (208) 245-5246
- NPI assigned
- Aug 26, 2008
- Last updated
- Nov 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 78102 | ID | Primary |
| Family Nurse Practitioner | 363LF0000X | 78102 | ID |
Addresses
Primary practice location
229 S 7TH St Ste 101
St Maries, ID 83861-1803
Mailing address
229 S 7TH St
St Maries, ID 83861-1803
Phone (208) 245-5551
Other practice location 1
229 S 7th St
St Maries, ID 83861-1803
Phone (208) 245-5551
Other practice location 2
229 S 7th St Ste 300
St Maries, ID 83861-1803
Phone (208) 245-2591
Other names 1
- Ms. Coralyn Balcuns
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, LA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Benewah Community Hospital
Practice addresses (Care Compare)
229 S 7TH St
St Maries, ID 83861-1803
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Benewah Community Hospital | Nurse Practitioner | Current | Accepting new patients |
| Benewah Community Hospital | Nurse Practitioner | Current | Accepting new patients |
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Urgent Care & Occupational Health Centers of Texas, P.a. | Past | Accepting new patients |
Locations
229 S 7th St
St Maries, ID 83861
Phone (208) 245-2591
229 S 7th St
Fl 1
St Maries, ID 83861
Phone (208) 245-7079
229 S 7th St
Ste 101
St Maries, ID 83861
Phone (208) 245-2591
229 S 7th St
Ste 300
St Maries, ID 83861
Phone (208) 245-2591
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
9220 Ellerbe Rd
Ste 700
Shreveport, LA 71106
Phone (318) 681-5282
555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660
11823 Culebra Rd
Ste 105
San Antonio, TX 78253
Phone (210) 598-1517
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e8b4f872-6ea1-4b26-a974-041b5fb4c57b/
Organizations & group practices 6
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.
-
dba St Maries Family Medicine
- Rural Health Clinic/Center
- St Maries, ID
- NPI 1386632180
Nurse Practitioner
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
LA
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Urgent Care Clinic/Center
- Boerne, TX
- NPI 1417044678
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- St Maries, ID
- NPI 1548320435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1770730392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 S 7TH ST",
"city": "ST MARIES",
"state": "ID",
"postal_code": "838611803",
"telephone_number": "208-245-5551",
"fax_number": "208-245-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 S 7TH ST STE 101",
"city": "ST MARIES",
"state": "ID",
"postal_code": "838611803",
"telephone_number": "208-245-7079",
"fax_number": "208-245-5246"
}
],
"practiceLocations": [
{
"address_1": "229 S 7th St",
"address_purpose": "LOCATION",
"city": "St Maries",
"state": "ID",
"postal_code": "838611803",
"country_code": "US",
"telephone_number": "208-245-5551",
"fax_number": "208-245-5246",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "229 S 7th St Ste 300",
"address_purpose": "LOCATION",
"city": "St Maries",
"state": "ID",
"postal_code": "838611803",
"country_code": "US",
"telephone_number": "208-245-2591",
"fax_number": "208-245-5246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FURR",
"first_name": "CORALYN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-26",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "78102",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "78102",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORALYN",
"last_name": "BALCUNS",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Maries, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.