Individual provider Active NPI

Coralyn Marie Furr, FNP

  • Nurse Practitioner
  • St Maries, ID
National Provider Identifier
1770730392
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
78102 Issued in ID
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA, ID3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090326000236 TX Practitioner - Nurse Practitioner 4486711082 Reassigns benefits to 2 organizations
I20220722000933 LA Practitioner - Nurse Practitioner 4486711082 Reassigns benefits to 1 organization
I20240423001848 ID Practitioner - Nurse Practitioner 4486711082 Reassigns benefits to 2 organizations

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 HospitalGroup PAC ID 1850200700, shared by 2 NPIs, 39 clinicians

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

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Aug 28, 2022 Accepting new patients
Benewah Community Hospital Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients
Benewah Community Hospital Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Jan 1, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 28, 2022 Accepting new patients
Urgent Care & Occupational Health Centers of Texas, P.a. PastSince Jan 1, 2021 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.