Mark Corey, FNP

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

093007080N1 Issued in OR

Practice address

110 Main St
Moro, OR 97039-3080

Phone

(541) 565-3325

Fax

(541) 565-3617

NPI assigned

Nov 8, 2005

Last updated

Mar 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: mark.coreyfnp.p1@direct.nwhumanservices.nextgenshare.com

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1851372643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "MORO",
            "state": "OR",
            "postal_code": "970390186",
            "telephone_number": "541-565-3325",
            "fax_number": "541-565-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "city": "MORO",
            "state": "OR",
            "postal_code": "970393080",
            "telephone_number": "541-565-3325",
            "fax_number": "541-565-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "MARK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "OR",
            "license": "093007080N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023015",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Sherman (Sherman County Ambulance)
• Erin L Haines, PA-C
• Mid-Columbia Center for Living (McCfl Moro)
• Shawn L Payne, CHW
• Kalie Rolfe

• Community Health Nurse Practitioner in Moro, OR
• Providers in Moro, OR by specialty
• Community Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.