Active NPI
Megan Eileen Cormier, ARNP
- Women's Health Nurse Practitioner
- Moses Lake, WA
National Provider Identifier
1871657478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP30002449
- Practice address
- 1402 E Craig St
Moses Lake, WA 98837-3165 - Phone
- (509) 765-4001
- Fax
- (509) 766-1840
- NPI assigned
- Dec 20, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP30002449 | WA | Primary |
Addresses
Primary practice location
1402 E Craig St
Moses Lake, WA 98837-3165
Mailing address
16098 Road 2 SE
Moses Lake, WA 98837-9307
Phone (509) 765-6276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7920705 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30002449 | WA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-Surgical Family Planning Clinic/Center
- Moses Lake, WA
- NPI 1023341997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871657478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16098 ROAD 2 SE",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988379307",
"telephone_number": "509-765-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 E CRAIG ST",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988373165",
"telephone_number": "509-765-4001",
"fax_number": "509-766-1840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORMIER",
"first_name": "MEGAN",
"middle_name": "EILEEN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP30002449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7920705",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.