Individual provider Active NPI

Tanya Lynne Korrell, M.D.

  • Pediatrics Physician
  • Eugene, OR
National Provider Identifier
1861663296
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
38128 Issued in AZ
Practice address
74 E 18TH Ave Ste 12
Eugene, OR 97401-4081
Phone
(541) 224-5078
Fax
(541) 219-5859
NPI assigned
Mar 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 38128 AZ Primary

Addresses

Primary practice location

74 E 18TH Ave Ste 12
Eugene, OR 97401-4081

Mailing address

465 Lochmoor PL
Eugene, OR 97405-2053
Phone (480) 220-0324

Other identifiers 1

IdentifierTypeStateIssuer
500812142MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240616000012 OR Practitioner - Pediatric Medicine 8921422700 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Free to Be Pediatrics, LLC Pediatrics CurrentSince Jun 3, 2025 Accepting new patients
County of Lincoln Current Accepting new patients
Lane County Oregon CurrentSince Apr 17, 2024 Accepting new patients
Phoenix Children'S Hospital Pediatrics PastSince Dec 1, 2020 Accepting new patients

Locations

151 W 7th Ave
Eugene, OR 97401
Phone (541) 682-4041

1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-3551

36 SW Nye St
Newport, OR 97365
Phone (541) 265-0445

2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530

525 N Bay St
Waldport, OR 97394
Phone (541) 265-4947

Interoperability endpoints

  • Direct secure messaging: tanya.korrell.p1@direct.lanecounty.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1861663296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 LOCHMOOR PL",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052053",
            "telephone_number": "480-220-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 E 18TH AVE STE 12",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014081",
            "telephone_number": "541-224-5078",
            "fax_number": "541-219-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORRELL",
        "first_name": "TANYA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "38128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500812142",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.