Corranda Kosciolek, FNP-BC, DHA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NPF 11501 Issued in CA

Practice address

26531 Ynez Rd
Temecula, CA 92591-4630

Phone

(180) 022-7990

NPI assigned

Sep 23, 2016

Last updated

Sep 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1861941403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26531 YNEZ RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914630",
            "telephone_number": "180-022-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26531 YNEZ RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914630",
            "telephone_number": "180-022-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCIOLEK",
        "first_name": "CORRANDA",
        "name_prefix": "Dr.",
        "credential": "FNP-BC, DHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF 11501",
            "primary": true
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "CA",
            "license": "NPF 11501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Rose Koreerat
• Caroline Lamb Kornelsen
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• Christine Jennifer Kortenhoeven, L.M.F.T.
• Brooke Males Koscheka
• Jason Kovacs
• David Wright Kowallis, P.A.
• Michael Brian Krapes, PSY.D.
• Kyndra Krebs
• Krepak Pediatrics, Inc. (Donna Krepak, D.O., F.A.A.P.)

• Family Nurse Practitioner in Temecula, CA
• Providers in Temecula, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.